| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $183.72 | $219.48 | $720.67 | |
Aetna
| Professional | $125.92 | $133.46 | $138.80 | |
Cigna
| Professional | $131.13 | $131.13 | $131.13 | |
Highmark BCBS
| Facility | $711.84 | $711.84 | $711.84 | |
United
| Professional | $140.50 | $140.50 | $175.62 |