| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $784.55 | $784.55 | $784.55 | |
Cigna
| Professional | $784.55 | $784.55 | $784.55 | |
Highmark BCBS
| Facility | $54.93 | $54.93 | $54.93 | |
United
| Professional | $738.40 | $769.17 | $1,153.76 |