| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $965.12 | $1,126.47 | $40,094.74 | |
CareSource
| Facility | $838.50 | $1,006.20 | $1,096.27 | |
Cigna
| Facility | $1,490.09 | $1,490.09 | $1,490.09 | |
Highmark BCBS
| Facility | $25,650.42 | $25,650.42 | $25,650.42 |