| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $65.33 | $645.78 | $645.78 | |
Aetna
| Professional | $63.78 | $65.33 | $70.16 | |
Cigna
| Facility | $65.33 | $65.33 | $85.00 | |
Cigna
| Professional | $65.33 | $65.33 | $97.61 | |
Highmark BCBS
| Facility | $189.64 | $189.64 | $189.64 | |
United
| Professional | $64.05 | $64.05 | $92.76 |