| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $113.70 | $157.55 | $1,455.44 | |
Aetna
| Professional | $91.79 | $91.79 | $113.71 | |
Cigna
| Facility | $89.05 | $89.05 | $89.05 | |
Highmark BCBS
| Facility | $137.00 | $364.42 | $1,092.08 | |
United
| Professional | $57.54 | $82.20 | $301.39 |