| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3.80 | $93.33 | $112.20 | |
Aetna
| Professional | $6.03 | $24.55 | $27.54 | |
Cigna
| Professional | $7.94 | $7.94 | $7.94 | |
Highmark BCBS
| Facility | $30.90 | $30.90 | $30.90 | |
United
| Professional | $7.94 | $8.91 | $12.02 |