| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $40.28 | $40.28 | $46.37 | |
Aetna
| Professional | $40.28 | $40.29 | $50.76 | |
Cigna
| Facility | $54.43 | $54.43 | $54.43 | |
Cigna
| Professional | $40.29 | $40.29 | $40.29 | |
Highmark BCBS
| Facility | $44.59 | $44.59 | $202.70 | |
United
| Professional | $40.29 | $42.71 | $76.90 |