| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $417.96 | $417.96 | $417.96 | |
Aetna
| Professional | $1.76 | $1.76 | $4.03 | |
Cigna
| Professional | $0.93 | $1.76 | $1.76 | |
Highmark BCBS
| Facility | $126.85 | $126.85 | $126.85 | |
United
| Professional | $0.70 | $1.67 | $1.76 |