| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $44.99 | $87.84 | $103.01 | |
Cigna
| Professional | $70.83 | $112.03 | $134.43 | |
Highmark BCBS
| Professional | $115.63 | $115.63 | $115.63 | |
United
| Facility | $500.00 | $500.00 | $500.00 | |
United
| Professional | $78.56 | $105.26 | $251.04 |