| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $37.36 | $96.04 | $217.58 | |
Aetna
| Professional | $31.05 | $37.36 | $38.50 | |
Cigna
| Professional | $47.32 | $47.32 | $47.32 | |
Highmark BCBS
| Facility | $64.61 | $64.61 | $200.39 | |
United
| Professional | $49.16 | $49.16 | $63.38 |