| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.50 | $265.27 | $525.30 | |
Aetna
| Professional | $123.35 | $123.35 | $316.99 | |
Cigna
| Professional | $123.36 | $123.36 | $123.36 | |
Highmark BCBS
| Facility | $64.61 | $300.95 | $520.35 | |
United
| Professional | $111.47 | $123.36 | $185.04 |