| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $246.65 | $344.30 | $765.00 | |
Aetna
| Professional | $108.36 | $108.36 | $586.60 | |
Cigna
| Professional | $108.36 | $108.36 | $108.36 | |
Highmark BCBS
| Facility | $148.69 | $213.21 | $457.34 | |
United
| Professional | $101.98 | $106.24 | $159.36 |