| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $49.59 | $80.18 | $150.94 | |
Aetna
| Professional | $30.00 | $31.19 | $36.46 | |
Cigna
| Professional | $33.14 | $33.14 | $33.14 | |
Highmark BCBS
| Facility | $50.25 | $50.25 | $50.25 | |
United
| Professional | $35.70 | $35.70 | $44.99 |