| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,131.01 | $21,273.61 | $21,273.61 | |
CareSource
| Facility | $788.42 | $875.88 | $954.29 | |
Cigna
| Facility | $845.35 | $845.35 | $845.35 | |
Highmark BCBS
| Facility | $12,441.05 | $12,441.05 | $12,441.05 |