| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $110.09 | $392.87 | $5,203.59 | |
Aetna
| Professional | $42.57 | $110.09 | $152.87 | |
Cigna
| Professional | $55.03 | $93.24 | $246.25 | |
Highmark BCBS
| Facility | $5,177.83 | $5,177.83 | $5,177.83 | |
United
| Professional | $163.10 | $211.57 | $488.75 |