| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $508.42 | $508.42 | $508.42 | |
Aetna
| Professional | $197.83 | $197.83 | $217.62 | |
Cigna
| Professional | $197.83 | $197.83 | $197.83 | |
Highmark BCBS
| Facility | $559.38 | $559.38 | $559.38 | |
United
| Professional | $187.94 | $209.70 | $296.75 |