| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5,601.37 | $5,601.37 | $6,903.55 | |
CareSource
| Facility | $744.44 | $893.33 | $1,116.66 | |
Cigna
| Facility | $858.77 | $858.77 | $858.77 | |
Cigna
| Facility | 62 | $526.61 | $526.61 | $526.61 |
Cigna
| Facility | AS | $84.26 | $84.26 | $84.26 |
Highmark BCBS
| Facility | $6,628.95 | $10,308.29 | $13,000.78 |