| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $169.33 | $321.20 | $10,114.02 | |
CareSource
| Facility | $155.63 | $163.93 | $203.49 | |
Cigna
| Facility | $262.86 | $262.86 | $262.86 | |
Highmark BCBS
| Facility | $4,210.72 | $4,210.72 | $6,294.35 |