| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $374.14 | $583.66 | $2,600.00 | |
CareSource
| Facility | $414.41 | $452.02 | $492.47 | |
Cigna
| Facility | $450.48 | $450.48 | $450.48 | |
Highmark BCBS
| Facility | 50 | $5,401.11 | $5,401.11 | $5,401.11 |