| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $69.18 | $138.04 | $257.04 | |
Aetna
| Professional | $58.88 | $89.13 | $120.23 | |
Cigna
| Professional | $95.50 | $95.50 | $95.50 | |
Highmark BCBS
| Facility | $67.61 | $100.00 | $134.90 | |
United
| Professional | $102.33 | $102.33 | $128.82 |