| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $975.93 | $14,851.06 | $23,572.92 | |
CareSource
| Facility | $963.41 | $1,093.20 | $1,191.06 | |
Cigna
| Facility | $1,032.30 | $1,032.30 | $1,032.30 | |
Cigna
| Facility | AS | $102.00 | $102.00 | $102.00 |
Highmark BCBS
| Facility | $10,556.14 | $10,556.14 | $10,556.14 |