| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $131.83 | $138.04 | $562.34 | |
Aetna
| Professional | $138.04 | $138.04 | $223.87 | |
Cigna
| Facility | $138.04 | $138.04 | $138.04 | |
Cigna
| Professional | $138.04 | $138.04 | $138.04 | |
Highmark BCBS
| Facility | $616.60 | $616.60 | $12,302.69 | |
United
| Professional | $125.89 | $223.87 | $239.88 |