| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22.80 | $57.61 | $119.60 | |
Aetna
| Professional | $22.80 | $26.69 | $43.46 | |
Cigna
| Facility | $36.61 | $36.61 | $36.61 | |
Cigna
| Professional | $26.73 | $26.73 | $36.61 | |
Highmark BCBS
| Facility | $130.00 | $130.00 | $130.00 | |
United
| Professional | $22.49 | $27.64 | $41.63 |