| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $63.10 | $89.13 | $223.87 | |
Cigna
| Facility | $117.49 | $117.49 | $117.49 | |
Cigna
| Professional | $85.11 | $85.11 | $85.11 | |
Highmark BCBS
| Professional | $218.78 | $218.78 | $218.78 | |
United
| Facility | $0.15 | $91.20 | $104.71 | |
United
| Professional | $93.33 | $114.82 | $162.18 |