| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $47.93 | $47.93 | $47.93 | |
Aetna
| Professional | $27.93 | $27.93 | $34.59 | |
Cigna
| Facility | $27.09 | $27.09 | $27.09 | |
Cigna
| Professional | $25.22 | $28.33 | $70.83 | |
Highmark BCBS
| Facility | $382.15 | $382.15 | $382.15 | |
United
| Professional | $18.76 | $55.13 | $91.70 |