| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $114.82 | $114.82 | $114.82 | |
Aetna
| Professional | $61.66 | $81.28 | $112.20 | |
Cigna
| Professional | $70.79 | $70.79 | $70.79 | |
Highmark BCBS
| Facility | $112.20 | $112.20 | $112.20 | |
United
| Professional | $79.43 | $79.43 | $97.72 |