| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.82 | $14.82 | $14.82 | |
Aetna
| Professional | $1.57 | $3.82 | $3.82 | |
Cigna
| Professional | $1.57 | $1.57 | $1.57 | |
Highmark BCBS
| Facility | $5.52 | $5.52 | $5.52 | |
United
| Professional | $1.57 | $3.30 | $3.80 |