| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.00 | $12.88 | $31.62 | |
Cigna
| Professional | $12.59 | $17.38 | $28.84 | |
Highmark BCBS
| Professional | $13.18 | $14.45 | $26.30 | |
Highmark BCBS
| Professional | 25 | $12.59 | $12.59 | $12.59 |
United
| Professional | $11.22 | $15.14 | $23.99 |