| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $63.17 | $162.34 | $656.64 | |
Aetna
| Professional | $49.11 | $63.17 | $78.33 | |
Cigna
| Facility | $65.00 | $65.00 | $65.00 | |
Cigna
| Professional | $61.97 | $81.09 | $100.55 | |
Highmark BCBS
| Facility | $262.10 | $262.10 | $262.10 | |
Highmark BCBS
| Professional | $82.41 | $82.41 | $82.41 | |
United
| Professional | $69.06 | $92.09 | $195.56 |