| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $69.37 | $69.37 | $101.92 | |
Cigna
| Facility | $104.24 | $104.24 | $104.24 | |
Cigna
| Professional | $76.09 | $76.09 | $104.24 | |
Highmark BCBS
| Professional | $166.59 | $166.59 | $166.59 | |
United
| Professional | $63.77 | $84.10 | $126.68 |