| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $76.73 | $106.85 | $117.54 | |
Cigna
| Facility | $118.47 | $118.47 | $120.81 | |
Cigna
| Professional | $88.19 | $88.19 | $120.81 | |
Highmark BCBS
| Professional | $130.50 | $130.50 | $130.50 | |
United
| Professional | $73.45 | $95.81 | $155.02 |