| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $134.40 | $209.86 | $3,949.00 | |
Aetna
| Professional | $134.40 | $204.61 | $209.86 | |
Cigna
| Professional | $141.28 | $211.91 | $301.25 | |
Highmark BCBS
| Professional | $215.84 | $215.84 | $215.84 | |
United
| Professional | $191.10 | $229.74 | $348.00 |