| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $94.24 | $161.63 | $1,400.00 | |
CareSource
| Facility | $96.32 | $115.58 | $125.93 | |
Cigna
| Facility | $162.03 | $162.03 | $162.03 | |
Highmark BCBS
| Facility | $439.02 | $439.02 | $440.94 | |
United
| Facility | $557.10 | $557.10 | $557.10 |