| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $53.58 | $589.49 | $998.94 | |
Aetna
| Professional | $0.23 | $0.25 | $157.11 | |
Cigna
| Professional | $0.23 | $0.23 | $0.23 | |
Highmark BCBS
| Facility | $0.74 | $2.37 | $3.50 | |
United
| Professional | $0.49 | $0.52 | $0.90 |