| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $137.33 | $144.57 | $157.78 | |
Cigna
| Facility | $209.59 | $209.59 | $209.59 | |
Cigna
| Professional | $153.00 | $153.00 | $209.59 | |
Highmark BCBS
| Professional | $325.86 | $325.86 | $325.86 | |
United
| Facility | $0.27 | $219.98 | $219.98 | |
United
| Professional | $150.31 | $166.47 | $250.77 |