| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $54.95 | $54.95 | $54.95 | |
Aetna
| Professional | $32.36 | $39.81 | $144.54 | |
Cigna
| Facility | $31.62 | $31.62 | $31.62 | |
Cigna
| Professional | $22.91 | $28.18 | $70.79 | |
Highmark BCBS
| Facility | $346.74 | $346.74 | $346.74 | |
United
| Professional | $20.42 | $28.84 | $107.15 |