| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12.14 | $145.75 | $366.39 | |
Aetna
| Professional | $11.36 | $27.23 | $29.19 | |
Cigna
| Professional | $11.36 | $11.36 | $11.36 | |
Highmark BCBS
| Facility | $144.38 | $144.38 | $380.38 | |
United
| Professional | $11.36 | $17.04 | $53.77 |