| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $507.77 | $1,304.99 | $2,208.92 | |
Aetna
| Professional | $507.78 | $507.78 | $1,579.31 | |
Cigna
| Professional | $489.34 | $489.34 | $489.34 | |
Highmark BCBS
| Facility | $2,875.50 | $2,875.50 | $2,875.50 |