| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $178.23 | $5,389.26 | $5,389.26 | |
CareSource
| Facility | $157.41 | $193.20 | $250.44 | |
Cigna
| Facility | $252.65 | $252.65 | $252.65 | |
Highmark BCBS
| Facility | $4,113.89 | $4,113.89 | $9,357.40 |