| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $229.09 | $229.09 | $229.09 | |
Aetna
| Professional | $131.83 | $162.18 | $588.84 | |
Cigna
| Facility | $128.82 | $128.82 | $128.82 | |
Cigna
| Professional | $131.83 | $131.83 | $371.54 | |
Highmark BCBS
| Facility | $173.78 | $173.78 | $371.54 | |
United
| Professional | $83.18 | $128.82 | $436.52 |