| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $125.89 | $144.54 | $181.97 | |
Cigna
| Facility | $125.89 | $125.89 | $125.89 | |
Cigna
| Professional | $107.15 | $107.15 | $125.89 | |
Highmark BCBS
| Professional | $251.19 | $251.19 | $251.19 | |
United
| Facility | $11.22 | $95.50 | $239.88 | |
United
| Professional | $114.82 | $194.98 | $288.40 |