| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $613.04 | $1,400.00 | $8,094.98 | |
CareSource
| Facility | $683.01 | $760.76 | $828.86 | |
Cigna
| Facility | $730.95 | $730.95 | $730.95 | |
Highmark BCBS
| Facility | $33,235.73 | $33,235.73 | $33,235.73 |