| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $526.82 | $639.82 | $14,681.38 | |
CareSource
| Facility | $494.84 | $529.17 | $646.96 | |
Cigna
| Facility | $848.53 | $848.53 | $848.53 | |
Highmark BCBS
| Facility | $10,365.73 | $10,365.73 | $26,886.46 |