| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $622.64 | $974.58 | $2,600.00 | |
CareSource
| Facility | $662.75 | $754.74 | $822.30 | |
Cigna
| Facility | $708.76 | $708.76 | $708.76 | |
Highmark BCBS
| Facility | $30,884.27 | $30,884.27 | $30,884.27 |