| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $64.09 | $754.03 | $955.49 | |
Aetna
| Professional | $293.39 | $293.39 | $511.66 | |
Cigna
| Professional | $147.34 | $147.34 | $147.34 | |
Highmark BCBS
| Facility | $530.89 | $1,180.98 | $1,596.00 |