| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.02 | $145.28 | $1,627.23 | |
Aetna
| Professional | $54.29 | $165.07 | $245.37 | |
Aetna
| Professional | 50 | $88.38 | $88.38 | $212.01 |
Cigna
| Professional | $61.25 | $109.66 | $314.49 | |
Highmark BCBS
| Professional | $238.25 | $238.25 | $238.25 | |
United
| Facility | $143.00 | $143.00 | $143.00 | |
United
| Professional | $152.01 | $226.82 | $386.81 |