| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $107.68 | $276.73 | $3,851.12 | |
Aetna
| Professional | $107.68 | $119.70 | $156.79 | |
Cigna
| Facility | $195.78 | $195.78 | $195.78 | |
Cigna
| Professional | $166.41 | $166.41 | $166.41 | |
Highmark BCBS
| Facility | $5,527.33 | $5,527.33 | $5,527.33 | |
United
| Professional | $117.85 | $139.86 | $196.62 |