| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2,914.55 | $2,914.55 | $2,914.55 | |
Cigna
| Professional | $2,914.55 | $2,914.55 | $2,914.55 | |
Highmark BCBS
| Facility | $2,408.01 | $2,408.01 | $2,408.01 | |
United
| Professional | $2,743.10 | $2,857.40 | $4,286.10 |