| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.18 | $95.50 | $549.54 | |
Aetna
| Professional | $23.99 | $30.20 | $251.19 | |
Cigna
| Professional | $30.90 | $30.90 | $30.90 | |
Highmark BCBS
| Facility | $16.60 | $162.18 | $251.19 | |
United
| Professional | $28.84 | $30.20 | $44.67 |