| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $46.63 | $46.63 | $46.63 | |
Aetna
| Professional | $27.17 | $39.64 | $39.64 | |
Cigna
| Facility | $26.36 | $26.36 | $26.36 | |
Cigna
| Professional | $23.80 | $26.36 | $69.79 | |
Highmark BCBS
| Facility | $40.54 | $40.54 | $40.54 | |
United
| Professional | $18.25 | $25.37 | $89.21 |