| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $55.47 | $55.47 | $66.91 | |
Cigna
| Facility | $56.85 | $56.85 | $56.85 | |
Cigna
| Professional | $55.47 | $55.47 | $55.47 | |
Highmark BCBS
| Facility | $113.37 | $113.37 | $113.37 | |
United
| Professional | $54.16 | $58.80 | $122.03 |