| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $77.62 | $1,096.48 | $4,073.80 | |
Aetna
| Professional | $77.62 | $302.00 | $1,412.54 | |
Cigna
| Professional | $100.00 | $169.82 | $1,122.02 | |
Highmark BCBS
| Facility | $1,230.27 | $1,230.27 | $1,230.27 | |
United
| Facility | $501.19 | $501.19 | $501.19 | |
United
| Professional | $85.11 | $588.84 | $1,122.02 |