| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $62.40 | $160.38 | $377.91 | |
Aetna
| Professional | $52.82 | $63.26 | $85.81 | |
Cigna
| Facility | $80.00 | $80.00 | $80.00 | |
Cigna
| Professional | $25.30 | $63.96 | $108.31 | |
Highmark BCBS
| Facility | $115.88 | $115.88 | $115.88 | |
United
| Professional | $62.07 | $78.09 | $200.10 |