| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $28.61 | $71.80 | $71.80 | |
Cigna
| Professional | $28.61 | $28.61 | $28.61 | |
Highmark BCBS
| Facility | $1,593.26 | $1,593.26 | $1,593.26 | |
United
| Professional | $28.61 | $42.92 | $164.61 |