| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12.88 | $13.80 | $13.80 | |
Aetna
| Professional | $12.88 | $12.88 | $15.14 | |
Cigna
| Facility | $12.88 | $13.80 | $85.11 | |
Cigna
| Professional | $13.80 | $64.57 | $64.57 | |
Highmark BCBS
| Facility | $38.90 | $38.90 | $54.95 | |
United
| Professional | $13.49 | $13.80 | $26.92 |