| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $150.22 | $168.12 | $193.16 | |
Cigna
| Facility | $232.98 | $232.98 | $232.98 | |
Cigna
| Professional | $170.08 | $170.08 | $232.98 | |
Highmark BCBS
| Professional | $398.94 | $398.94 | $398.94 | |
United
| Professional | $184.01 | $218.36 | $339.67 |