| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $743.02 | $817.45 | $884.55 | |
Cigna
| Facility | $795.00 | $795.00 | $810.90 | |
Cigna
| Professional | $675.75 | $675.75 | $810.90 | |
Highmark BCBS
| Professional | $752.30 | $752.30 | $752.30 | |
United
| Professional | $403.70 | $668.58 | $712.43 |