| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $141.25 | $776.25 | $812.83 | |
Aetna
| Professional | $81.28 | $97.72 | $120.23 | |
Cigna
| Facility | $87.10 | $87.10 | $87.10 | |
Highmark BCBS
| Facility | $812.83 | $812.83 | $812.83 | |
United
| Professional | $51.29 | $72.44 | $269.15 |