| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $55.48 | $55.48 | $55.48 | |
Aetna
| Professional | $32.32 | $32.32 | $40.04 | |
Cigna
| Facility | $31.36 | $31.36 | $31.36 | |
Cigna
| Professional | $25.22 | $28.33 | $70.83 | |
Highmark BCBS
| Facility | $345.04 | $345.04 | $345.04 | |
United
| Professional | $20.26 | $29.42 | $106.13 |