| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21.38 | $58.88 | $93.33 | |
Aetna
| Professional | $12.88 | $34.67 | $64.57 | |
Cigna
| Facility | $12.88 | $12.88 | $12.88 | |
Cigna
| Professional | $12.88 | $14.45 | $39.81 | |
Highmark BCBS
| Facility | $19.95 | $19.95 | $128.82 | |
United
| Professional | $8.51 | $13.49 | $43.65 |