| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $97.30 | $97.30 | $111.62 | |
Cigna
| Facility | $135.22 | $135.22 | $135.22 | |
Cigna
| Professional | $98.72 | $179.29 | $193.57 | |
Highmark BCBS
| Facility | $869.00 | $869.00 | $869.00 | |
United
| Professional | $89.45 | $117.95 | $177.68 |