| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $462.44 | $462.44 | $462.44 | |
Aetna
| Professional | $269.42 | $269.42 | $333.76 | |
Cigna
| Facility | $261.38 | $261.38 | $261.38 | |
Cigna
| Professional | $751.46 | $751.46 | $751.46 | |
Highmark BCBS
| Facility | $500.00 | $500.00 | $500.00 | |
United
| Professional | $168.89 | $329.16 | $884.66 |