| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $258.63 | $268.86 | $268.86 | |
Aetna
| Professional | $258.63 | $258.64 | $284.50 | |
Cigna
| Facility | $261.38 | $261.38 | $261.38 | |
Cigna
| Professional | $258.64 | $258.64 | $258.64 | |
Highmark BCBS
| Facility | $858.13 | $858.13 | $858.13 | |
United
| Professional | $258.58 | $274.16 | $387.96 |