| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $114.82 | $114.82 | $602.56 | |
Aetna
| Professional | $36.31 | $43.65 | $87.10 | |
Cigna
| Professional | $44.67 | $44.67 | $44.67 | |
Highmark BCBS
| Facility | $48.98 | $48.98 | $48.98 | |
United
| Professional | $44.67 | $50.12 | $75.86 |