| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $65.87 | $351.99 | $2,360.26 | |
Aetna
| Professional | $65.87 | $138.03 | $351.99 | |
Cigna
| Professional | $68.59 | $166.81 | $418.30 | |
Highmark BCBS
| Facility | $842.76 | $842.76 | $842.76 | |
United
| Professional | $165.80 | $254.14 | $585.33 |