| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $45.01 | $122.20 | $15,315.64 | |
Aetna
| Professional | $47.55 | $47.55 | $2,900.80 | |
Cigna
| Facility | $36.42 | $36.42 | $36.42 | |
Cigna
| Professional | $47.55 | $47.55 | $47.55 | |
Highmark BCBS
| Facility | $27.91 | $43.28 | $321.56 | |
United
| Professional | $47.55 | $50.40 | $92.49 |