| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,949.00 | $9,223.57 | $9,223.57 | |
Aetna
| Professional | $337.31 | $337.31 | $384.90 | |
Cigna
| Professional | $345.16 | $485.06 | $663.88 | |
Highmark BCBS
| Facility | $5,113.20 | $5,113.20 | $5,113.20 | |
United
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Professional | $373.12 | $496.02 | $849.54 |