| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $52.95 | $57.43 | $60.01 | |
Cigna
| Facility | $104.66 | $104.66 | $104.66 | |
Cigna
| Professional | $88.96 | $88.96 | $104.66 | |
Highmark BCBS
| Facility | $1,156.14 | $1,156.14 | $1,156.14 | |
United
| Professional | $57.97 | $68.78 | $104.18 |