| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.58 | $154.19 | $908.42 | |
Aetna
| Professional | $60.00 | $226.30 | $226.30 | |
Cigna
| Professional | $60.00 | $60.00 | $60.00 | |
Highmark BCBS
| Facility | $22.64 | $22.64 | $448.65 | |
United
| Professional | $60.00 | $85.71 | $98.81 |