| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $33.38 | $39,786.00 | $63,332.70 | |
Aetna
| Professional | $12.99 | $12.99 | $30.98 | |
Cigna
| Professional | $12.99 | $12.99 | $12.99 | |
Highmark BCBS
| Facility | $13.29 | $13.29 | $13.29 | |
United
| Professional | $12.99 | $15.66 | $19.48 |