| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $116.12 | $194.46 | $1,400.00 | |
CareSource
| Facility | $125.19 | $143.22 | $156.06 | |
Cigna
| Facility | $200.74 | $200.74 | $200.74 | |
Highmark BCBS
| Facility | $518.61 | $518.61 | $587.26 |