| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $221.17 | $410.24 | $410.24 | |
Aetna
| Professional | $128.85 | $128.85 | $159.63 | |
Cigna
| Facility | $125.01 | $125.01 | $125.01 | |
Highmark BCBS
| Facility | $340.81 | $340.81 | $706.95 | |
United
| Professional | $80.77 | $145.31 | $423.10 |