| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $117.50 | $504.59 | $1,074.42 | |
Aetna
| Professional | $102.14 | $112.35 | $133.88 | |
Cigna
| Professional | $119.90 | $119.90 | $119.90 | |
Highmark BCBS
| Facility | $143.94 | $412.36 | $814.33 |