| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $166.02 | $409.50 | $6,608.92 | |
Aetna
| Professional | $64.59 | $113.68 | $127.10 | |
Cigna
| Professional | $74.12 | $113.05 | $195.39 | |
Highmark BCBS
| Facility | $47.53 | $47.53 | $535.63 | |
United
| Professional | $116.73 | $171.65 | $277.08 |