| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $27.88 | $32.72 | $33.20 | |
Cigna
| Facility | $31.00 | $31.00 | $41.50 | |
Cigna
| Professional | $26.35 | $26.35 | $41.50 | |
Highmark BCBS
| Professional | $49.73 | $49.73 | $49.73 | |
United
| Professional | $16.73 | $27.30 | $64.22 |