| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8.13 | $186.21 | $239.88 | |
Aetna
| Professional | $22.91 | $56.23 | $302.00 | |
Cigna
| Facility | $22.91 | $22.91 | $22.91 | |
Cigna
| Professional | $21.38 | $25.12 | $67.61 | |
Highmark BCBS
| Facility | $35.48 | $93.33 | $169.82 | |
United
| Professional | $14.79 | $21.38 | $77.62 |