| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $90.59 | $99.00 | $167.40 | |
Aetna
| Professional | $33.14 | $33.14 | $65.38 | |
Cigna
| Facility | $51.20 | $51.20 | $51.20 | |
Cigna
| Professional | $20.42 | $90.86 | $113.58 | |
Highmark BCBS
| Facility | $516.65 | $516.65 | $516.65 | |
United
| Professional | $14.07 | $23.79 | $47.26 |