| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $167.79 | $241.81 | $296.20 | |
Aetna
| Professional | $64.42 | $90.37 | $141.30 | |
Aetna
| Professional | 25 | $75.87 | $117.65 | $234.39 |
Cigna
| Facility | $110.00 | $130.00 | $175.00 | |
Cigna
| Professional | $70.95 | $107.90 | $169.86 | |
Highmark BCBS
| Professional | $75.00 | $143.81 | $284.12 | |
Highmark BCBS
| Professional | 25 | $97.04 | $162.12 | $259.29 |
United
| Professional | $80.48 | $108.16 | $216.24 |