| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $40.14 | $53.40 | $72.36 | |
Cigna
| Facility | $86.64 | $86.64 | $91.83 | |
Cigna
| Professional | $63.25 | $63.25 | $91.83 | |
Highmark BCBS
| Professional | $101.12 | $102.97 | $104.82 | |
United
| Professional | $51.53 | $74.70 | $112.53 |