| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $62.10 | $62.10 | $99.69 | |
Cigna
| Facility | $97.79 | $97.79 | $97.79 | |
Cigna
| Professional | $71.39 | $71.39 | $97.79 | |
Highmark BCBS
| Professional | $149.13 | $149.13 | $150.90 | |
United
| Facility | $0.12 | $74.61 | $74.61 | |
United
| Professional | $62.37 | $75.28 | $125.47 |