| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $123.00 | $6,907.00 | $9,479.12 | |
Aetna
| Professional | $47.86 | $1,456.81 | $1,456.81 | |
Cigna
| Professional | $7.60 | $7.60 | $7.60 | |
Highmark BCBS
| Facility | $5,863.72 | $5,863.72 | $5,863.72 |