| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.45 | $30.17 | $77.53 | |
Aetna
| Professional | $30.17 | $63.78 | $63.78 | |
Cigna
| Professional | $30.17 | $30.17 | $30.17 | |
Highmark BCBS
| Facility | $161.15 | $161.15 | $269.44 | |
United
| Professional | $30.17 | $45.26 | $45.94 |