| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $70.33 | $110.26 | $1,400.00 | |
CareSource
| Facility | $74.11 | $74.11 | $93.03 | |
Cigna
| Facility | $79.06 | $79.06 | $79.06 | |
Cigna
| Facility | AS | $7.76 | $7.76 | $7.76 |
Highmark BCBS
| Facility | $5,046.82 | $5,046.82 | $7,523.94 |