| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $102.33 | $2,089.30 | $2,818.38 | |
Aetna
| Professional | $102.33 | $120.23 | $575.44 | |
Cigna
| Professional | $120.23 | $120.23 | $120.23 | |
Highmark BCBS
| Facility | $128.82 | $398.11 | $1,047.13 |