| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $180.17 | $188.33 | $207.00 | |
Cigna
| Facility | $281.20 | $281.20 | $281.20 | |
Cigna
| Professional | $205.28 | $205.28 | $281.20 | |
Highmark BCBS
| Professional | $432.65 | $432.65 | $432.65 | |
United
| Professional | $197.20 | $218.41 | $329.00 |