| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $42.50 | $42.50 | $107.43 | |
Aetna
| Professional | $42.51 | $57.60 | $63.36 | |
Cigna
| Facility | $59.92 | $59.92 | $59.92 | |
Cigna
| Professional | $43.74 | $67.34 | $71.77 | |
Highmark BCBS
| Facility | $133.00 | $133.00 | $133.00 | |
United
| Professional | $17.26 | $51.53 | $73.22 |