| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.68 | $40.32 | $51.98 | |
Aetna
| Professional | $15.00 | $15.68 | $36.58 | |
Cigna
| Professional | $15.69 | $15.69 | $15.69 | |
Highmark BCBS
| Facility | $21.57 | $21.57 | $21.57 | |
United
| Professional | $13.65 | $15.69 | $23.54 |