| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $47.88 | $99.18 | $118.56 | |
Aetna
| Professional | $611.41 | $611.41 | $611.41 | |
Cigna
| Professional | $611.41 | $611.41 | $611.41 | |
Highmark BCBS
| Facility | $96.16 | $96.16 | $96.16 | |
United
| Professional | $575.44 | $683.34 | $1,025.01 |