| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $104.67 | $104.67 | $104.67 | |
Aetna
| Professional | $83.49 | $98.15 | $107.97 | |
Cigna
| Professional | $96.58 | $96.58 | $96.58 | |
Highmark BCBS
| Facility | $263.88 | $263.88 | $263.88 | |
United
| Professional | $103.33 | $103.33 | $129.35 |