| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $29.98 | $249.68 | $496.80 | |
Aetna
| Professional | $20.60 | $22.58 | $22.58 | |
Cigna
| Facility | $16.95 | $16.95 | $16.95 | |
Cigna
| Professional | $13.85 | $30.15 | $37.69 | |
Highmark BCBS
| Facility | $69.34 | $110.46 | $200.58 | |
United
| Professional | $9.59 | $12.60 | $27.04 |