| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $231.73 | $231.73 | $231.73 | |
Aetna
| Professional | $135.01 | $135.01 | $167.25 | |
Cigna
| Facility | $130.97 | $130.97 | $130.97 | |
Cigna
| Professional | $376.47 | $376.47 | $376.47 | |
Highmark BCBS
| Facility | $106.96 | $241.78 | $490.00 | |
United
| Professional | $84.63 | $164.94 | $443.30 |