| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $336.05 | $336.05 | $336.05 | |
Cigna
| Facility | $405.00 | $405.00 | $413.10 | |
Cigna
| Professional | $347.75 | $405.00 | $413.10 | |
Highmark BCBS
| Professional | $711.32 | $711.32 | $711.32 |