| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $123.50 | $6,903.55 | $15,788.95 | |
CareSource
| Facility | $136.38 | $136.38 | $148.59 | |
Cigna
| Facility | $125.35 | $125.35 | $125.35 | |
Highmark BCBS
| Facility | $5,855.73 | $7,523.94 | $10,671.93 |