| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $198.64 | $198.64 | $198.64 | |
Aetna
| Professional | $115.73 | $115.73 | $143.37 | |
Cigna
| Facility | $112.27 | $112.27 | $112.27 | |
Cigna
| Professional | $279.27 | $279.27 | $279.27 | |
Highmark BCBS
| Facility | $569.91 | $569.91 | $569.91 | |
United
| Professional | $77.73 | $122.23 | $380.01 |