| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $95.45 | $107.53 | $126.50 | |
Aetna
| Professional | $77.79 | $101.92 | $134.65 | |
Cigna
| Professional | $75.00 | $119.33 | $164.06 | |
Highmark BCBS
| Professional | $119.30 | $137.60 | $137.60 | |
United
| Professional | $80.00 | $121.26 | $269.41 |