| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $519.54 | $519.54 | $679.91 | |
Aetna
| Professional | $360.00 | $519.54 | $519.54 | |
Cigna
| Facility | $665.68 | $948.89 | $2,329.33 | |
Cigna
| Professional | $109.45 | $136.81 | $730.00 | |
Highmark BCBS
| Facility | $633.26 | $633.26 | $633.26 |