| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $110.14 | $153.37 | $168.70 | |
Cigna
| Facility | $142.00 | $142.00 | $146.03 | |
Cigna
| Professional | $103.66 | $103.66 | $146.03 | |
Highmark BCBS
| Professional | $184.02 | $184.02 | $184.02 | |
United
| Professional | $125.68 | $133.51 | $209.46 |