| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $256.58 | $589.72 | $1,400.00 | |
CareSource
| Facility | $271.38 | $307.16 | $334.67 | |
Cigna
| Facility | $435.16 | $435.16 | $435.16 | |
Highmark BCBS
| Facility | $7,748.50 | $7,748.50 | $7,748.50 |