| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $326.54 | $511.22 | $1,400.00 | |
CareSource
| Facility | $340.04 | $395.90 | $431.34 | |
Cigna
| Facility | $365.30 | $365.30 | $365.30 | |
Cigna
| Facility | AS | $35.86 | $35.86 | $35.86 |
Highmark BCBS
| Facility | $5,046.82 | $5,046.82 | $5,046.82 |