| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $970.93 | $1,400.00 | $3,550.00 | |
CareSource
| Facility | $962.02 | $1,049.29 | $1,257.75 | |
Cigna
| Facility | $1,128.18 | $1,128.18 | $1,128.18 | |
Highmark BCBS
| Facility | $14,102.41 | $14,102.41 | $14,102.41 |