| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6.83 | $331.16 | $677.90 | |
Aetna
| Professional | $6.83 | $7.32 | $17.55 | |
Cigna
| Professional | $6.83 | $6.83 | $6.83 | |
Highmark BCBS
| Facility | $185.92 | $185.92 | $185.92 | |
United
| Professional | $6.83 | $6.83 | $37.89 |