| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.58 | $82.65 | $397.44 | |
Aetna
| Professional | $21.30 | $21.30 | $49.42 | |
Cigna
| Professional | $21.31 | $21.31 | $21.31 | |
Highmark BCBS
| Facility | $13.25 | $17.89 | $138.25 | |
United
| Professional | $19.80 | $21.31 | $31.97 |