| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $51.00 | $51.00 | $1,400.00 | |
Aetna
| Professional | $51.00 | $51.00 | $75.25 | |
Cigna
| Professional | $378.24 | $378.24 | $378.24 | |
Highmark BCBS
| Professional | $104.71 | $104.71 | $104.71 |