| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $698.18 | $10,593.80 | $24,171.41 | |
Aetna
| Facility | 50 | $9,442.95 | $14,761.44 | $25,744.11 |
CareSource
| Facility | $709.83 | $789.34 | $859.99 | |
Cigna
| Facility | $760.71 | $760.71 | $760.71 | |
Highmark BCBS
| Facility | $11,984.50 | $11,984.50 | $16,617.84 |