| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $58.78 | $58.78 | $67.44 | |
Cigna
| Facility | $81.70 | $81.70 | $81.70 | |
Cigna
| Professional | $59.64 | $59.64 | $81.70 | |
Highmark BCBS
| Professional | $141.16 | $141.16 | $141.16 | |
United
| Professional | $54.04 | $71.26 | $99.81 |