| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $132.66 | $132.66 | $132.66 | |
Aetna
| Professional | $91.13 | $119.97 | $119.97 | |
Cigna
| Facility | $74.98 | $74.98 | $74.98 | |
Cigna
| Professional | $17.51 | $132.57 | $215.47 | |
Highmark BCBS
| Professional | $111.00 | $111.00 | $111.00 | |
United
| Professional | $48.45 | $69.39 | $253.79 |