| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $446.29 | $503.29 | $503.29 | |
Cigna
| Facility | $390.00 | $390.00 | $397.80 | |
Cigna
| Professional | $365.95 | $390.00 | $397.80 | |
Highmark BCBS
| Professional | $307.61 | $307.61 | $307.61 |