| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $138.91 | $138.91 | $138.91 | |
Aetna
| Professional | $127.74 | $138.91 | $138.91 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Highmark BCBS
| Facility | $6,322.10 | $6,322.10 | $6,322.10 |