| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $12.27 | $12.28 | $13.51 | |
Cigna
| Facility | $17.98 | $17.98 | $17.98 | |
Cigna
| Professional | $12.28 | $12.28 | $12.28 | |
Highmark BCBS
| Facility | $87.03 | $87.03 | $87.03 | |
United
| Professional | $12.28 | $13.02 | $24.63 |