| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $229.09 | $229.09 | $346.74 | |
Cigna
| Facility | $229.09 | $229.09 | $229.09 | |
Cigna
| Professional | $100.00 | $229.09 | $229.09 | |
Highmark BCBS
| Professional | $69.18 | $69.18 | $138.04 |