| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.17 | $111.48 | $2,401.69 | |
Aetna
| Professional | $25.17 | $41.07 | $43.38 | |
Cigna
| Professional | $12.88 | $25.20 | $44.73 | |
Highmark BCBS
| Facility | $1,653.72 | $1,653.72 | $1,653.72 | |
United
| Professional | $28.99 | $38.58 | $79.43 |