| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $91.87 | $117.11 | $209.17 | |
Aetna
| Professional | 25 | $141.11 | $144.63 | $272.12 |
Cigna
| Professional | $116.36 | $116.36 | $133.97 | |
Highmark BCBS
| Professional | $115.89 | $117.86 | $130.01 | |
Highmark BCBS
| Professional | 25 | $107.39 | $137.71 | $137.71 |
United
| Professional | $95.16 | $118.95 | $220.06 |