| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $402.69 | $1,200.00 | $7,625.38 | |
CareSource
| Facility | $393.40 | $472.08 | $590.10 | |
Cigna
| Facility | $450.12 | $450.12 | $450.12 | |
Cigna
| Facility | 62 | $276.13 | $276.13 | $276.13 |
Cigna
| Facility | AS | $44.18 | $44.18 | $44.18 |
Highmark BCBS
| Facility | $5,855.73 | $5,857.79 | $12,623.23 |