| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $60.97 | $113.62 | $136.12 | |
Cigna
| Professional | $62.71 | $140.83 | $167.12 | |
Highmark BCBS
| Professional | $150.18 | $150.18 | $150.18 | |
United
| Professional | $110.90 | $128.87 | $203.90 |