| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $145.58 | $182.41 | $1,653.10 | |
Aetna
| Professional | $117.52 | $117.52 | $145.58 | |
Cigna
| Facility | $114.01 | $114.01 | $114.01 | |
Cigna
| Professional | $245.41 | $245.41 | $245.41 | |
Highmark BCBS
| Facility | $831.76 | $831.76 | $831.76 | |
United
| Professional | $75.29 | $107.55 | $385.88 |