| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $74.54 | $166.51 | $5,043.35 | |
Aetna
| Professional | $64.79 | $126.75 | $127.02 | |
Cigna
| Professional | $86.02 | $137.13 | $270.20 | |
Highmark BCBS
| Facility | $222.66 | $222.66 | $597.29 | |
United
| Professional | $115.49 | $161.22 | $322.43 |