| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $77.84 | $99.50 | $130.00 | |
Aetna
| Professional | $76.11 | $93.56 | $159.00 | |
Cigna
| Professional | $75.09 | $118.69 | $190.81 | |
Highmark BCBS
| Professional | $132.41 | $132.41 | $394.90 | |
United
| Professional | $73.94 | $86.26 | $204.95 |