| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $174.09 | $174.09 | $197.28 | |
Cigna
| Facility | $293.77 | $293.77 | $293.77 | |
Cigna
| Professional | $214.45 | $214.45 | $293.77 | |
Highmark BCBS
| Professional | $418.05 | $418.05 | $418.05 | |
United
| Professional | $190.54 | $226.11 | $773.78 |