| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $29.98 | $31.20 | $77.04 | |
Aetna
| Professional | $29.98 | $29.98 | $33.29 | |
Cigna
| Facility | $30.25 | $30.25 | $30.25 | |
Cigna
| Professional | $29.98 | $29.98 | $29.98 | |
Highmark BCBS
| Facility | $103.22 | $103.22 | $103.22 | |
United
| Professional | $29.98 | $31.78 | $38.52 |