| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22.35 | $39.90 | $98.09 | |
Aetna
| Professional | $20.00 | $20.00 | $26.50 | |
Cigna
| Professional | $22.10 | $22.10 | $22.10 | |
Highmark BCBS
| Facility | $25.63 | $25.63 | $25.63 | |
United
| Professional | $23.53 | $23.53 | $33.53 |