| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11.40 | $317.17 | $618.00 | |
Aetna
| Professional | $25.37 | $28.18 | $65.31 | |
Cigna
| Professional | $25.37 | $25.37 | $25.37 | |
Highmark BCBS
| Facility | $437.83 | $437.83 | $610.41 | |
United
| Professional | $25.37 | $38.06 | $109.83 |