| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $400.16 | $400.16 | $400.16 | |
Aetna
| Professional | $168.95 | $194.29 | $240.00 | |
Cigna
| Facility | $212.14 | $212.14 | $212.14 | |
Cigna
| Professional | $146.27 | $146.27 | $873.09 | |
Highmark BCBS
| Facility | $224.70 | $224.70 | $224.70 | |
United
| Professional | $136.49 | $216.16 | $279.74 |