| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $148.52 | $148.52 | $148.52 | |
Aetna
| Professional | $3.74 | $18.39 | $18.39 | |
Cigna
| Facility | $17.32 | $17.32 | $23.49 | |
Cigna
| Professional | $17.32 | $17.32 | $98.23 | |
Highmark BCBS
| Facility | $224.50 | $224.50 | $555.21 | |
United
| Professional | $20.38 | $20.38 | $29.52 |