| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $202.89 | $241.53 | $251.04 | |
Cigna
| Facility | $243.42 | $243.42 | $325.88 | |
Cigna
| Professional | $206.91 | $206.91 | $325.88 | |
Highmark BCBS
| Professional | $352.01 | $352.01 | $352.01 | |
United
| Professional | $166.50 | $182.68 | $279.83 |