| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,609.27 | $1,609.27 | $1,609.27 | |
Aetna
| Professional | $1,609.27 | $1,609.27 | $1,609.27 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Highmark BCBS
| Facility | $6,961.85 | $6,961.85 | $6,961.85 |