| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $60.99 | $63.84 | $81.39 | |
Aetna
| Professional | $31.67 | $31.67 | $46.00 | |
Cigna
| Professional | $32.76 | $32.76 | $32.76 | |
Highmark BCBS
| Facility | $61.85 | $61.85 | $61.85 | |
United
| Professional | $34.95 | $40.19 | $43.89 |