| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $44.46 | $948.27 | $1,200.00 | |
CareSource
| Facility | $47.17 | $53.58 | $58.39 | |
Cigna
| Facility | $75.64 | $75.64 | $75.64 | |
Cigna
| Facility | AS | $7.56 | $7.56 | $7.56 |
Highmark BCBS
| Facility | $4,978.97 | $4,978.97 | $4,978.97 |