| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4.09 | $687.68 | $980.91 | |
Aetna
| Professional | $3.22 | $3.22 | $9.21 | |
Cigna
| Professional | $3.22 | $3.22 | $3.22 | |
Highmark BCBS
| Facility | $22.05 | $22.05 | $75.15 | |
United
| Professional | $3.41 | $4.83 | $8.83 |