| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $199.53 | $208.93 | $34,673.69 | |
Aetna
| Professional | $204.17 | $524.81 | $12,302.69 | |
Cigna
| Professional | $199.53 | $199.53 | $199.53 | |
Highmark BCBS
| Facility | $1,288.25 | $1,288.25 | $1,288.25 | |
United
| Professional | $208.93 | $257.04 | $316.23 |