| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $50.43 | $137.69 | $496.00 | |
Cigna
| Facility | $228.57 | $228.57 | $228.57 | |
Cigna
| Professional | $99.89 | $99.89 | $228.57 | |
Highmark BCBS
| Professional | $264.12 | $264.12 | $264.12 |