| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $115.14 | $115.14 | $115.71 | |
Aetna
| Professional | $62.00 | $66.56 | $77.78 | |
Cigna
| Professional | $70.36 | $70.36 | $70.36 | |
Highmark BCBS
| Facility | $111.56 | $111.56 | $111.56 | |
United
| Professional | $76.58 | $76.58 | $95.55 |