| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $28.18 | $28.18 | $213.80 | |
Cigna
| Facility | $42.66 | $42.66 | $42.66 | |
Cigna
| Professional | $30.90 | $30.90 | $30.90 | |
Highmark BCBS
| Professional | $69.18 | $69.18 | $69.18 | |
United
| Facility | $0.05 | $38.90 | $66.07 | |
United
| Professional | $30.90 | $36.31 | $56.23 |