| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $269.15 | $562.34 | $1,737.80 | |
Aetna
| Professional | $20.89 | $45.71 | $93.33 | |
Cigna
| Professional | $0.11 | $0.11 | $0.11 | |
Highmark BCBS
| Facility | $11.48 | $11.48 | $11.48 | |
United
| Professional | $0.11 | $0.12 | $0.14 |