| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $202.06 | $202.06 | $222.09 | |
Aetna
| Professional | $75.66 | $88.28 | $105.04 | |
Cigna
| Professional | $67.00 | $93.27 | $133.87 | |
Highmark BCBS
| Professional | $112.89 | $157.29 | $234.93 | |
United
| Professional | $72.20 | $87.82 | $222.07 |