| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $206.32 | $795.01 | $795.01 | |
Aetna
| Professional | $176.54 | $187.57 | $187.57 | |
Cigna
| Facility | $182.10 | $182.10 | $187.57 | |
Cigna
| Professional | $187.57 | $187.57 | $187.57 | |
Highmark BCBS
| Facility | $4,053.86 | $4,053.86 | $4,053.86 |