| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,104.30 | $2,031.50 | $4,985.10 | |
Aetna
| Professional | $429.69 | $429.69 | $429.69 | |
Cigna
| Professional | $405.05 | $434.86 | $666.77 | |
Highmark BCBS
| Facility | $4,993.09 | $4,993.09 | $4,993.09 | |
United
| Professional | $259.10 | $361.62 | $868.67 |