| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $47.86 | $58.88 | $169.82 | |
Cigna
| Facility | $81.28 | $81.28 | $81.28 | |
Cigna
| Professional | $60.26 | $60.26 | $60.26 | |
Highmark BCBS
| Professional | $144.54 | $144.54 | $144.54 | |
United
| Facility | $0.10 | $74.13 | $104.71 | |
United
| Professional | $64.57 | $75.86 | $107.15 |