| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $39.81 | $167.01 | $296.44 | |
Aetna
| Professional | $35.00 | $39.81 | $52.33 | |
Cigna
| Professional | $54.60 | $54.60 | $54.60 | |
Highmark BCBS
| Facility | $53.60 | $84.50 | $292.80 | |
United
| Professional | $57.62 | $57.62 | $73.58 |