| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $114.82 | $204.17 | $204.17 | |
Ambetter
| Facility | $21.88 | $21.88 | $21.88 | |
Cigna
| Facility | $54.95 | $112.20 | $154.88 | |
Highmark BCBS
| Facility | $53.70 | $134.90 | $181.97 | |
Martin's Point
| Facility | $114.82 | $114.82 | $204.17 |