| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.00 | $13.86 | $649.52 | |
Aetna
| Professional | $9.52 | $10.00 | $10.00 | |
Cigna
| Professional | $13.63 | $13.63 | $17.04 | |
Highmark BCBS
| Facility | $51.93 | $51.93 | $466.66 | |
United
| Professional | $4.22 | $7.23 | $12.05 |