| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $107.00 | $107.00 | $107.00 | |
Aetna
| Professional | $106.71 | $113.06 | $123.05 | |
Cigna
| Professional | $97.96 | $124.41 | $239.46 | |
Highmark BCBS
| Facility | $786.30 | $786.30 | $786.30 | |
United
| Professional | $77.91 | $125.89 | $317.20 |