| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $66.07 | $66.07 | $66.07 | |
Aetna
| Professional | $44.67 | $47.86 | $173.78 | |
Cigna
| Professional | $66.07 | $66.07 | $83.18 | |
Highmark BCBS
| Facility | $5,495.41 | $5,495.41 | $5,495.41 | |
United
| Professional | $24.55 | $38.90 | $87.10 |