| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $162.04 | $6,746.38 | $6,746.38 | |
CareSource
| Facility | $180.70 | $202.24 | $220.33 | |
Cigna
| Facility | $289.74 | $289.74 | $289.74 | |
Highmark BCBS
| Facility | $1,391.29 | $1,391.29 | $4,540.49 |