| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $139.90 | $166.05 | $166.55 | |
Cigna
| Facility | $160.96 | $160.96 | $215.49 | |
Cigna
| Professional | $136.82 | $136.82 | $215.49 | |
Highmark BCBS
| Professional | $235.70 | $235.70 | $235.70 | |
United
| Professional | $83.97 | $129.35 | $217.39 |