| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $118.55 | $123.58 | $141.99 | |
Cigna
| Facility | $108.00 | $170.64 | $170.64 | |
Cigna
| Professional | $108.00 | $124.57 | $170.64 | |
Highmark BCBS
| Professional | $75.00 | $75.00 | $189.48 | |
United
| Professional | $122.78 | $150.47 | $225.66 |