| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $165.25 | $203.43 | $233.73 | |
Cigna
| Facility | $248.05 | $248.05 | $248.05 | |
Cigna
| Professional | $181.08 | $181.08 | $248.05 | |
Highmark BCBS
| Professional | $488.53 | $488.53 | $488.53 | |
United
| Professional | $222.67 | $264.23 | $411.02 |