| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $43.56 | $43.56 | $50.41 | |
Cigna
| Facility | $68.45 | $68.45 | $68.45 | |
Cigna
| Professional | $49.98 | $49.98 | $68.45 | |
Highmark BCBS
| Professional | $105.84 | $105.84 | $105.84 | |
United
| Professional | $47.68 | $52.80 | $79.54 |