| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $82.47 | $94.85 | $544.69 | |
Aetna
| Facility | 25 | $97.09 | $443.46 | $955.41 |
Aetna
| Professional | $33.09 | $42.02 | $66.00 | |
Cigna
| Professional | $35.33 | $45.75 | $90.00 | |
Highmark BCBS
| Professional | $58.70 | $77.00 | $244.48 | |
United
| Professional | $29.68 | $40.08 | $87.42 |