| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $62.11 | $67.34 | $71.36 | |
Cigna
| Facility | $100.03 | $100.03 | $100.03 | |
Cigna
| Professional | $73.02 | $73.02 | $100.03 | |
Highmark BCBS
| Professional | $147.38 | $147.38 | $147.38 | |
United
| Professional | $67.98 | $80.66 | $113.41 |