| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $112.45 | $119.05 | $2,656.85 | |
Aetna
| Professional | $112.45 | $112.45 | $550.00 | |
Cigna
| Professional | $112.45 | $112.45 | $112.45 | |
Highmark BCBS
| Facility | $128.71 | $128.71 | $128.71 | |
United
| Professional | $112.45 | $168.68 | $424.10 |