| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4.04 | $110.58 | $1,457.73 | |
Aetna
| Professional | $3.52 | $9.07 | $9.07 | |
Cigna
| Professional | $3.52 | $3.52 | $3.52 | |
Highmark BCBS
| Facility | $12.09 | $64.38 | $84.54 | |
United
| Professional | $3.52 | $5.28 | $11.85 |