| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5.40 | $269.92 | $1,185.88 | |
Aetna
| Professional | $5.05 | $52.19 | $88.78 | |
Cigna
| Professional | $5.05 | $5.05 | $5.05 | |
Highmark BCBS
| Facility | $184.86 | $184.86 | $267.44 | |
United
| Professional | $5.36 | $57.79 | $100.88 |