| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $109.68 | $121.35 | $176.07 | |
Cigna
| Facility | $175.81 | $175.81 | $191.33 | |
Cigna
| Professional | $128.34 | $128.34 | $191.33 | |
Highmark BCBS
| Professional | $183.26 | $183.26 | $183.26 | |
United
| Professional | $120.05 | $133.56 | $221.60 |