| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $63.10 | $114.82 | $660.69 | |
Aetna
| Professional | $48.98 | $81.28 | $186.21 | |
Cigna
| Facility | $64.57 | $64.57 | $64.57 | |
Cigna
| Professional | $58.88 | $83.18 | $97.72 | |
Highmark BCBS
| Facility | $263.03 | $263.03 | $263.03 | |
Highmark BCBS
| Professional | $91.20 | $91.20 | $91.20 | |
United
| Professional | $67.61 | $89.13 | $186.21 |