| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $43.59 | $112.02 | $112.02 | |
Aetna
| Professional | $33.56 | $43.59 | $54.71 | |
Cigna
| Facility | $65.00 | $65.00 | $65.00 | |
Cigna
| Professional | $35.50 | $47.90 | $80.01 | |
Highmark BCBS
| Facility | $104.85 | $104.85 | $104.85 | |
United
| Professional | $47.25 | $60.15 | $134.49 |