| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5.16 | $579.60 | $877.07 | |
Aetna
| Professional | $4.86 | $11.59 | $72.15 | |
Cigna
| Professional | $4.86 | $4.86 | $4.86 | |
Highmark BCBS
| Facility | $11.75 | $45.75 | $57.78 | |
United
| Professional | $4.86 | $7.29 | $12.73 |