| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $194.98 | $194.98 | $204.17 | |
Cigna
| Professional | $194.98 | $194.98 | $194.98 | |
Highmark BCBS
| Facility | $630.96 | $630.96 | $630.96 | |
United
| Professional | $194.98 | $208.93 | $218.78 |