| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $45.03 | $69.97 | $107.95 | |
Aetna
| Professional | $18.59 | $43.34 | $47.77 | |
Cigna
| Professional | $18.59 | $18.59 | $18.59 | |
Highmark BCBS
| Facility | $26.66 | $50.25 | $534.90 | |
United
| Professional | $18.59 | $27.86 | $34.13 |