| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17.91 | $50.98 | $218.27 | |
Aetna
| Professional | $19.84 | $40.17 | $40.17 | |
Cigna
| Professional | $19.84 | $19.84 | $19.84 | |
Highmark BCBS
| Facility | $192.92 | $192.92 | $192.92 | |
United
| Professional | $19.84 | $29.76 | $48.56 |