| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.33 | $39.39 | $364.99 | |
Aetna
| Professional | $15.33 | $40.26 | $40.26 | |
Cigna
| Professional | $15.32 | $15.32 | $15.32 | |
Highmark BCBS
| Facility | $25.13 | $25.13 | $178.06 | |
United
| Professional | $15.33 | $26.96 | $31.09 |