| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $95.50 | $794.33 | $954.99 | |
Aetna
| Professional | $107.15 | $125.89 | $190.55 | |
Cigna
| Facility | $120.23 | $190.55 | $190.55 | |
Cigna
| Professional | $72.44 | $398.11 | $575.44 | |
Highmark BCBS
| Facility | $954.99 | $954.99 | $954.99 | |
United
| Facility | $281.84 | $281.84 | $281.84 | |
United
| Professional | $64.57 | $112.20 | $223.87 |