| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $799.60 | $799.60 | $124,638.57 | |
Aetna
| Professional | $311.13 | $311.13 | $311.13 | |
Cigna
| Professional | $311.13 | $311.13 | $311.13 | |
Highmark BCBS
| Facility | $876.00 | $876.00 | $876.00 | |
United
| Professional | $292.82 | $305.02 | $457.53 |