| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $46.32 | $46.32 | $63.82 | |
Cigna
| Facility | $55.34 | $55.34 | $55.34 | |
Cigna
| Professional | $46.32 | $46.32 | $46.32 | |
Highmark BCBS
| Professional | $52.47 | $52.47 | $59.66 | |
United
| Professional | $46.32 | $51.42 | $87.05 |