| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $119.29 | $468.26 | $1,058.92 | |
Aetna
| Professional | $119.30 | $136.83 | $211.92 | |
Cigna
| Facility | $175.00 | $175.00 | $175.00 | |
Cigna
| Professional | $127.75 | $220.60 | $238.16 | |
Highmark BCBS
| Facility | $1,269.00 | $1,269.00 | $1,269.00 | |
United
| Professional | $109.66 | $144.61 | $217.84 |