| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $289.41 | $6,903.55 | $6,903.55 | |
CareSource
| Facility | $186.77 | $193.76 | $244.19 | |
Cigna
| Facility | $208.57 | $208.57 | $208.57 | |
Cigna
| Facility | AS | $20.47 | $20.47 | $20.47 |
Highmark BCBS
| Facility | $5,046.82 | $5,046.82 | $5,046.82 |