| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $396.74 | $412.99 | $412.99 | |
Cigna
| Facility | $296.00 | $296.00 | $296.00 | |
Cigna
| Professional | $251.60 | $296.00 | $296.00 | |
Highmark BCBS
| Professional | $310.25 | $310.25 | $310.25 |