| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $83.18 | $128.82 | $457.09 | |
Cigna
| Facility | $141.25 | $141.25 | $141.25 | |
Cigna
| Professional | $104.71 | $104.71 | $104.71 | |
Highmark BCBS
| Professional | $181.97 | $186.21 | $186.21 | |
United
| Facility | $0.20 | $120.23 | $128.82 | |
United
| Professional | $125.89 | $158.49 | $208.93 |