| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $63.05 | $63.05 | $72.33 | |
Cigna
| Facility | $99.06 | $99.06 | $99.06 | |
Cigna
| Professional | $72.31 | $72.31 | $99.06 | |
Highmark BCBS
| Professional | $153.19 | $153.19 | $153.19 | |
United
| Professional | $57.96 | $76.43 | $107.06 |