| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $338.70 | $338.70 | $338.70 | |
Aetna
| Professional | $197.33 | $197.33 | $244.45 | |
Cigna
| Facility | $191.44 | $191.44 | $191.44 | |
Cigna
| Professional | $550.71 | $550.71 | $550.71 | |
Highmark BCBS
| Facility | $106.96 | $783.42 | $1,302.00 | |
United
| Professional | $132.53 | $241.07 | $647.94 |