| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $42.84 | $368.89 | $872.85 | |
Aetna
| Professional | $40.64 | $40.65 | $49.93 | |
Cigna
| Professional | $40.65 | $40.65 | $40.65 | |
Highmark BCBS
| Facility | $183.21 | $372.99 | $393.51 | |
United
| Professional | $40.65 | $40.65 | $158.10 |