| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $40.26 | $58.75 | $58.75 | |
Cigna
| Facility | $72.18 | $72.18 | $72.18 | |
Cigna
| Professional | $52.69 | $52.69 | $72.18 | |
Highmark BCBS
| Professional | $95.54 | $95.54 | $95.54 | |
United
| Professional | $40.44 | $48.81 | $73.52 |