| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $36.11 | $36.11 | $36.11 | |
Aetna
| Professional | $36.11 | $36.11 | $81.19 | |
Cigna
| Facility | $190.11 | $190.11 | $190.11 | |
Cigna
| Professional | $21.70 | $21.70 | $21.70 | |
Highmark BCBS
| Facility | $115.96 | $270.19 | $421.39 | |
United
| Professional | $79.29 | $79.29 | $79.29 |