| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $36.31 | $36.31 | $36.31 | |
Aetna
| Professional | $33.11 | $38.90 | $89.13 | |
Cigna
| Facility | $64.57 | $64.57 | $64.57 | |
Cigna
| Professional | $14.79 | $14.79 | $14.79 | |
Highmark BCBS
| Facility | $36.31 | $36.31 | $36.31 |