| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $192.20 | $192.20 | $369.12 | |
Aetna
| Professional | $122.72 | $143.63 | $222.41 | |
Cigna
| Facility | $4,783.89 | $4,783.89 | $4,783.89 | |
Cigna
| Professional | $116.91 | $251.22 | $603.65 | |
Highmark BCBS
| Professional | $146.03 | $146.03 | $146.03 | |
United
| Professional | $131.08 | $218.66 | $630.44 |