| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $317.60 | $816.23 | $1,188.64 | |
Aetna
| Professional | $220.67 | $317.60 | $317.60 | |
Cigna
| Professional | $116.76 | $116.76 | $116.76 | |
Highmark BCBS
| Facility | $478.89 | $678.00 | $851.31 |