| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $102.56 | $114.46 | $122.10 | |
Cigna
| Facility | $129.12 | $129.12 | $131.69 | |
Cigna
| Professional | $109.75 | $109.75 | $131.69 | |
Highmark BCBS
| Professional | $145.07 | $145.07 | $145.07 | |
United
| Professional | $54.68 | $98.09 | $151.63 |