| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $549.72 | $636.59 | $4,846.91 | |
Aetna
| Professional | $636.59 | $636.59 | $3,111.43 | |
Cigna
| Professional | $636.59 | $636.59 | $636.59 | |
Highmark BCBS
| Facility | $564.65 | $564.65 | $598.79 | |
United
| Professional | $636.59 | $954.89 | $1,764.00 |