| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4.98 | $128.34 | $503.17 | |
Aetna
| Professional | $4.79 | $4.79 | $11.17 | |
Cigna
| Professional | $4.79 | $4.79 | $4.79 | |
Highmark BCBS
| Facility | $165.66 | $165.66 | $165.66 | |
United
| Professional | $4.79 | $7.19 | $11.96 |