| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $301.35 | $346.55 | $642.79 | |
Aetna
| Professional | $201.90 | $201.90 | $250.12 | |
Cigna
| Facility | $195.88 | $195.88 | $195.88 | |
Highmark BCBS
| Facility | $1,068.59 | $1,068.59 | $1,068.59 | |
United
| Professional | $126.57 | $180.81 | $662.97 |