| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.32 | $20.32 | $20.32 | |
Aetna
| Professional | $7.73 | $7.91 | $7.91 | |
Highmark BCBS
| Facility | $78.33 | $78.33 | $78.33 | |
United
| Facility | $0.12 | $0.12 | $11.03 | |
United
| Professional | $3.91 | $9.77 | $9.77 |