| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $45.63 | $46.53 | $51.48 | |
Cigna
| Facility | $71.68 | $71.68 | $71.68 | |
Cigna
| Professional | $52.33 | $52.33 | $71.68 | |
Highmark BCBS
| Professional | $113.06 | $113.06 | $113.06 | |
United
| Professional | $38.77 | $56.41 | $206.82 |