| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21.88 | $72.44 | $977.24 | |
Aetna
| Professional | $22.91 | $60.26 | $147.91 | |
Cigna
| Professional | $23.99 | $56.23 | $114.82 | |
Highmark BCBS
| Facility | $812.83 | $812.83 | $812.83 | |
United
| Professional | $19.50 | $53.70 | $114.82 |