| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $141.83 | $161.53 | $168.84 | |
Cigna
| Facility | $166.31 | $166.31 | $218.29 | |
Cigna
| Professional | $141.36 | $141.36 | $218.29 | |
Highmark BCBS
| Professional | $214.12 | $214.12 | $214.12 | |
United
| Professional | $85.11 | $147.79 | $228.79 |