| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4.47 | $790.44 | $998.90 | |
Aetna
| Professional | $1.73 | $1.73 | $1.76 | |
Cigna
| Professional | $1.74 | $1.74 | $1.74 | |
Highmark BCBS
| Facility | $24.67 | $24.67 | $24.67 | |
United
| Professional | $1.65 | $1.74 | $5.36 |