| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $446.68 | $501.19 | $1,548.82 | |
Cigna
| Facility | $630.96 | $630.96 | $630.96 | |
Cigna
| Professional | $457.09 | $457.09 | $457.09 | |
Highmark BCBS
| Professional | $1,096.48 | $1,096.48 | $1,096.48 | |
United
| Facility | $0.72 | $457.09 | $467.74 | |
United
| Professional | $489.78 | $575.44 | $831.76 |