| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.42 | $316.23 | $602.56 | |
Aetna
| Professional | $22.91 | $35.48 | $67.61 | |
Cigna
| Professional | $20.42 | $20.42 | $20.42 | |
Highmark BCBS
| Facility | $10.96 | $436.52 | $616.60 | |
United
| Professional | $20.42 | $30.90 | $109.65 |