| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $57.83 | $63.65 | $68.84 | |
Cigna
| Facility | $65.95 | $65.95 | $87.12 | |
Cigna
| Professional | $56.07 | $56.07 | $87.12 | |
Highmark BCBS
| Professional | $87.14 | $87.14 | $87.14 | |
United
| Professional | $34.70 | $52.60 | $91.09 |