| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $69.37 | $69.37 | $79.56 | |
Cigna
| Facility | $116.46 | $116.46 | $116.46 | |
Cigna
| Professional | $85.02 | $85.02 | $116.46 | |
Highmark BCBS
| Professional | $168.56 | $168.56 | $168.56 | |
United
| Professional | $63.77 | $84.10 | $126.68 |