| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $90.98 | $90.98 | $219.14 | |
Aetna
| Professional | $81.51 | $90.98 | $282.00 | |
Cigna
| Facility | $41.95 | $61.27 | $150.40 | |
Cigna
| Professional | $105.73 | $132.16 | $411.32 | |
Highmark BCBS
| Facility | $204.10 | $204.10 | $204.10 | |
United
| Facility | $21.68 | $21.68 | $21.68 |