| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $465.20 | $465.20 | $465.20 | |
Aetna
| Professional | $271.02 | $271.02 | $335.75 | |
Cigna
| Facility | $262.94 | $262.94 | $262.94 | |
Cigna
| Professional | $450.09 | $450.09 | $450.09 | |
Highmark BCBS
| Facility | $206.88 | $206.88 | $404.52 | |
United
| Professional | $157.61 | $242.71 | $889.94 |