| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $520.95 | $620.73 | $668.04 | |
Aetna
| Professional | $286.50 | $335.55 | $383.73 | |
Cigna
| Professional | $368.58 | $368.58 | $368.58 | |
Highmark BCBS
| Facility | $647.29 | $647.29 | $647.29 | |
United
| Professional | $394.76 | $394.76 | $493.64 |