| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $77.30 | $77.30 | $88.65 | |
Cigna
| Facility | $107.42 | $107.42 | $153.94 | |
Cigna
| Professional | $78.42 | $78.42 | $153.94 | |
Highmark BCBS
| Professional | $126.83 | $126.83 | $126.83 | |
United
| Facility | $0.14 | $85.00 | $85.00 | |
United
| Professional | $71.05 | $93.70 | $141.13 |