| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.71 | $120.54 | $141.91 | |
Aetna
| Professional | $20.72 | $51.43 | $51.43 | |
Cigna
| Professional | $20.72 | $20.72 | $20.72 | |
Highmark BCBS
| Facility | $22.52 | $84.33 | $119.06 | |
United
| Professional | $20.72 | $27.53 | $31.74 |