| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $29.40 | $87.40 | $474.72 | |
Aetna
| Professional | $22.33 | $29.40 | $29.40 | |
Cigna
| Facility | $18.38 | $18.38 | $18.38 | |
Cigna
| Professional | $14.86 | $29.25 | $36.56 | |
Highmark BCBS
| Facility | $132.22 | $132.22 | $132.22 | |
United
| Professional | $11.87 | $16.75 | $34.90 |