| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $64.94 | $64.94 | $196.53 | |
Aetna
| Professional | $25.27 | $63.11 | $63.11 | |
Cigna
| Professional | $25.27 | $25.27 | $25.27 | |
Highmark BCBS
| Facility | $47.28 | $47.28 | $47.28 | |
United
| Professional | $25.27 | $33.36 | $40.88 |