| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $104.15 | $267.69 | $566.72 | |
Aetna
| Professional | $84.08 | $84.08 | $104.16 | |
Cigna
| Facility | $81.56 | $81.56 | $81.56 | |
Cigna
| Professional | $89.51 | $100.52 | $250.52 | |
Highmark BCBS
| Facility | $250.98 | $410.15 | $607.52 | |
United
| Professional | $100.39 | $123.48 | $276.08 |