| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $147.52 | $147.52 | $149.52 | |
Aetna
| Professional | $149.52 | $157.47 | $218.08 | |
Cigna
| Professional | $156.72 | $156.72 | $156.72 | |
Highmark BCBS
| Facility | $914.64 | $914.64 | $914.64 | |
Highmark BCBS
| Professional | $133.03 | $133.03 | $133.03 | |
United
| Professional | $144.88 | $220.33 | $366.47 |