| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $55.53 | $57.50 | $275.31 | |
Aetna
| Professional | $57.51 | $57.51 | $64.61 | |
Cigna
| Professional | $57.51 | $57.51 | $57.51 | |
Highmark BCBS
| Professional | $57.69 | $57.69 | $57.69 | |
United
| Professional | $57.51 | $57.51 | $86.27 |