| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $190.60 | $794.30 | $794.30 | |
Aetna
| Professional | $95.30 | $127.04 | $127.04 | |
Cigna
| Facility | $141.30 | $141.30 | $141.30 | |
Cigna
| Professional | $72.98 | $147.02 | $572.17 | |
Highmark BCBS
| Facility | $952.94 | $952.94 | $952.94 | |
United
| Professional | $69.66 | $115.11 | $306.11 |