| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $171.00 | $637.52 | $1,012.00 | |
Aetna
| Professional | $182.45 | $456.45 | $456.45 | |
Cigna
| Professional | $182.45 | $182.45 | $182.45 | |
Highmark BCBS
| Facility | $195.62 | $359.15 | $1,180.67 | |
United
| Professional | $182.45 | $273.68 | $329.22 |