| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $50.84 | $285.73 | $1,831.72 | |
Aetna
| Professional | $46.61 | $96.65 | $135.08 | |
Cigna
| Professional | $50.04 | $92.63 | $159.10 | |
Highmark BCBS
| Facility | $567.59 | $567.59 | $2,697.70 | |
United
| Facility | $143.00 | $143.00 | $143.00 | |
United
| Professional | $86.82 | $140.13 | $234.75 |