| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $51.47 | $55.81 | $61.74 | |
Cigna
| Facility | $75.80 | $75.80 | $75.80 | |
Cigna
| Professional | $55.33 | $55.33 | $75.80 | |
Highmark BCBS
| Professional | $135.61 | $135.61 | $135.61 | |
United
| Facility | $71.80 | $71.80 | $71.80 | |
United
| Professional | $44.53 | $67.65 | $101.91 |