| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $57.54 | $57.54 | $57.54 | |
Aetna
| Professional | $54.95 | $57.54 | $69.18 | |
Cigna
| Facility | $61.66 | $61.66 | $107.15 | |
Cigna
| Professional | $61.66 | $61.66 | $309.03 | |
Highmark BCBS
| Facility | $114.82 | $114.82 | $281.84 | |
United
| Facility | $50.12 | $50.12 | $50.12 | |
United
| Professional | $58.88 | $60.26 | $72.44 |