| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $40.32 | $48.28 | $53.42 | |
Cigna
| Facility | $65.90 | $65.90 | $65.90 | |
Cigna
| Professional | $48.11 | $48.11 | $65.90 | |
Highmark BCBS
| Professional | $117.32 | $117.32 | $117.32 | |
United
| Professional | $36.36 | $58.53 | $97.55 |