| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $97.47 | $192.60 | $786.60 | |
Aetna
| Professional | $124.08 | $124.08 | $153.72 | |
Cigna
| Facility | $120.38 | $120.38 | $120.38 | |
Highmark BCBS
| Facility | $896.59 | $896.59 | $896.59 | |
United
| Professional | $77.78 | $111.12 | $407.44 |