| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $77.78 | $89.45 | $165.91 | |
Aetna
| Professional | $61.45 | $64.56 | $64.56 | |
Cigna
| Facility | $50.56 | $50.56 | $50.56 | |
Cigna
| Professional | $27.00 | $89.21 | $111.51 | |
Highmark BCBS
| Facility | $77.78 | $77.78 | $77.78 | |
United
| Professional | $18.70 | $32.67 | $52.70 |