| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $76.06 | $367.47 | $814.20 | |
Aetna
| Professional | $61.41 | $61.41 | $76.08 | |
Cigna
| Facility | $59.58 | $59.58 | $59.58 | |
Cigna
| Professional | $171.30 | $171.30 | $171.30 | |
Highmark BCBS
| Facility | $48.02 | $225.55 | $428.74 | |
United
| Professional | $38.50 | $75.04 | $201.65 |