| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $43.49 | $80.84 | $109.33 | |
Cigna
| Professional | $43.02 | $98.01 | $128.62 | |
Highmark BCBS
| Professional | $114.81 | $114.81 | $114.81 | |
United
| Professional | $80.83 | $99.61 | $160.58 |