| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $107.92 | $127.97 | $128.47 | |
Cigna
| Facility | $112.00 | $112.00 | $112.73 | |
Cigna
| Professional | $16.55 | $95.82 | $112.73 | |
Highmark BCBS
| Professional | $138.50 | $138.50 | $138.50 | |
United
| Professional | $57.34 | $86.00 | $137.37 |