| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $246.81 | $246.81 | $246.81 | |
Aetna
| Professional | $143.80 | $143.80 | $178.13 | |
Cigna
| Facility | $139.50 | $139.50 | $139.50 | |
Cigna
| Professional | $300.88 | $300.88 | $300.88 | |
Highmark BCBS
| Facility | $395.76 | $395.76 | $570.89 | |
United
| Professional | $90.14 | $131.66 | $472.16 |