| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $55.07 | $61.51 | $61.51 | |
Cigna
| Facility | $75.09 | $75.09 | $75.09 | |
Cigna
| Professional | $54.82 | $54.82 | $75.09 | |
Highmark BCBS
| Professional | $149.46 | $149.46 | $149.46 | |
United
| Professional | $49.67 | $74.56 | $101.08 |