| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $603.83 | $928.86 | $1,700.00 | |
CareSource
| Facility | $628.84 | $628.84 | $783.73 | |
Cigna
| Facility | $675.38 | $675.38 | $675.38 | |
Cigna
| Facility | AS | $65.84 | $65.84 | $65.84 |
Highmark BCBS
| Facility | $5,738.41 | $5,738.41 | $5,738.41 |