| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $270.33 | $422.12 | $1,600.00 | |
CareSource
| Facility | $303.26 | $337.87 | $368.12 | |
Cigna
| Facility | $486.28 | $486.28 | $486.28 | |
Highmark BCBS
| Facility | $26,984.87 | $26,984.87 | $26,984.87 |