| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $96.58 | $112.93 | $114.98 | |
Cigna
| Facility | $110.00 | $110.00 | $112.20 | |
Cigna
| Professional | $93.50 | $93.50 | $93.50 | |
Highmark BCBS
| Professional | $148.19 | $148.19 | $148.19 | |
United
| Professional | $50.11 | $89.89 | $154.91 |