| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $159.59 | $159.59 | $159.59 | |
Aetna
| Professional | $62.10 | $62.10 | $76.70 | |
Cigna
| Facility | $67.06 | $67.06 | $67.06 | |
Cigna
| Professional | $62.10 | $62.10 | $62.10 | |
Highmark BCBS
| Facility | $263.85 | $263.85 | $263.85 | |
United
| Professional | $62.10 | $68.93 | $93.15 |