| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $467.20 | $725.34 | $1,700.00 | |
CareSource
| Facility | $508.42 | $561.73 | $612.01 | |
Cigna
| Facility | $545.78 | $545.78 | $545.78 | |
Highmark BCBS
| Facility | $5,691.27 | $5,691.27 | $5,691.27 |