| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $469.30 | $469.30 | $1,262.04 | |
Aetna
| Professional | $89.71 | $166.38 | $192.54 | |
Cigna
| Professional | $152.47 | $171.87 | $349.84 | |
Highmark BCBS
| Facility | $1,246.56 | $1,246.56 | $1,246.56 | |
United
| Professional | $89.13 | $125.00 | $275.00 |