| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $229.09 | $229.09 | $229.09 | |
Aetna
| Professional | $134.90 | $165.96 | $602.56 | |
Cigna
| Facility | $131.83 | $131.83 | $131.83 | |
Cigna
| Professional | $134.90 | $134.90 | $380.19 | |
Highmark BCBS
| Facility | $107.15 | $107.15 | $331.13 | |
United
| Professional | $85.11 | $131.83 | $446.68 |