| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,911.87 | $11,905.10 | $58,198.80 | |
Cigna
| Facility | $29,900.00 | $29,900.00 | $29,900.00 | |
Highmark BCBS
| Facility | $30,385.35 | $30,385.35 | $30,385.35 | |
United
| Facility | $5,170.00 | $5,170.00 | $5,170.00 |