| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $27.93 | $281.70 | $552.39 | |
Aetna
| Professional | $30.60 | $30.60 | $30.60 | |
Cigna
| Professional | $30.60 | $30.60 | $30.60 | |
Highmark BCBS
| Facility | $16.55 | $248.72 | $545.61 | |
United
| Professional | $28.80 | $30.00 | $66.00 |