| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $93.33 | $295.12 | $1,023.29 | |
Aetna
| Professional | $93.33 | $288.40 | $323.59 | |
Cigna
| Professional | $93.33 | $93.33 | $93.33 | |
Highmark BCBS
| Facility | $501.19 | $501.19 | $501.19 | |
United
| Professional | $89.13 | $93.33 | $141.25 |