| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $63.27 | $63.27 | $63.27 | |
Aetna
| Professional | $32.35 | $32.35 | $38.00 | |
Cigna
| Professional | $35.25 | $35.25 | $35.25 | |
Highmark BCBS
| Facility | $63.51 | $63.51 | $63.51 | |
United
| Professional | $37.61 | $37.61 | $47.21 |