| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $38.25 | $98.30 | $227.70 | |
Aetna
| Professional | $38.25 | $38.25 | $38.25 | |
Cigna
| Professional | $38.25 | $38.25 | $38.25 | |
Highmark BCBS
| Facility | $241.58 | $241.58 | $241.58 | |
United
| Professional | $36.75 | $37.50 | $56.25 |