| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $217.21 | $217.21 | $242.01 | |
Aetna
| Professional | $15.30 | $39.47 | $39.47 | |
Cigna
| Professional | $15.30 | $15.30 | $15.30 | |
Highmark BCBS
| Facility | $121.00 | $121.00 | $121.00 | |
United
| Professional | $15.30 | $22.95 | $35.95 |