| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.20 | $77.62 | $28,183.83 | |
Aetna
| Professional | $33.11 | $141.25 | $7,244.36 | |
Cigna
| Professional | $30.20 | $30.20 | $30.20 | |
Highmark BCBS
| Facility | $302.00 | $302.00 | $302.00 | |
United
| Professional | $33.88 | $64.57 | $100.00 |