| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $71.25 | $71.25 | $104.85 | |
Aetna
| Professional | $71.25 | $104.68 | $122.73 | |
Cigna
| Facility | $124.10 | $124.10 | $124.10 | |
Cigna
| Professional | $96.42 | $96.42 | $96.42 | |
Highmark BCBS
| Professional | $114.96 | $114.96 | $114.96 | |
United
| Professional | $83.04 | $121.74 | $175.17 |