| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $92.64 | $108.86 | $110.29 | |
Cigna
| Facility | $115.90 | $115.90 | $144.38 | |
Cigna
| Professional | $98.52 | $98.52 | $144.38 | |
Highmark BCBS
| Professional | $141.97 | $141.97 | $141.97 | |
United
| Professional | $55.60 | $83.39 | $137.16 |