| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13.80 | $83.18 | $398.11 | |
Aetna
| Professional | $21.88 | $30.20 | $44.67 | |
Cigna
| Professional | $21.88 | $21.88 | $21.88 | |
Highmark BCBS
| Facility | $13.18 | $17.78 | $144.54 | |
United
| Professional | $20.42 | $21.88 | $33.11 |