| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $966.94 | $1,400.00 | $1,600.00 | |
CareSource
| Facility | $1,037.14 | $1,149.80 | $1,252.73 | |
Cigna
| Facility | $1,115.11 | $1,115.11 | $1,115.11 | |
Highmark BCBS
| Facility | $18,414.80 | $18,414.80 | $18,414.80 |