| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $401.62 | $401.62 | $509.35 | |
Aetna
| Professional | $289.39 | $401.62 | $401.62 | |
Cigna
| Facility | $132.22 | $192.15 | $471.70 | |
Cigna
| Professional | $280.01 | $350.02 | $624.29 | |
Highmark BCBS
| Facility | $474.40 | $474.40 | $474.40 |