| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $81.28 | $112.20 | $537.03 | |
Aetna
| Professional | $72.44 | $81.28 | $295.12 | |
Cigna
| Facility | $63.10 | $63.10 | $63.10 | |
Cigna
| Professional | $45.71 | $112.20 | $141.25 | |
Highmark BCBS
| Facility | $263.03 | $263.03 | $263.03 | |
United
| Professional | $31.62 | $43.65 | $147.91 |