| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $37.85 | $178.98 | $596.49 | |
Aetna
| Professional | $14.73 | $14.88 | $14.88 | |
Cigna
| Professional | $14.73 | $14.73 | $14.73 | |
Highmark BCBS
| Facility | $18.28 | $25.69 | $77.70 | |
United
| Professional | $13.99 | $14.73 | $22.10 |