| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $156.24 | $251.94 | $628.14 | |
Cigna
| Facility | $88.31 | $88.31 | $88.31 | |
Cigna
| Professional | $97.50 | $156.11 | $253.76 | |
Highmark BCBS
| Facility | $175.22 | $175.22 | $175.22 | |
United
| Professional | $46.70 | $67.34 | $97.30 |