| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21.57 | $55.43 | $494.87 | |
Aetna
| Facility | CQ | $37.79 | $45.97 | $458.55 |
Aetna
| Professional | $14.40 | $22.50 | $33.31 | |
Cigna
| Facility | $65.00 | $65.00 | $65.00 | |
Cigna
| Professional | $32.76 | $84.63 | $116.06 | |
Highmark BCBS
| Facility | $88.25 | $88.25 | $88.25 | |
Highmark BCBS
| Facility | CQ | $74.98 | $74.98 | $74.98 |
Highmark BCBS
| Professional | $30.68 | $30.68 | $30.68 | |
United
| Professional | $23.51 | $32.29 | $80.48 |