| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $340.39 | $533.09 | $1,400.00 | |
CareSource
| Facility | $355.66 | $412.85 | $449.79 | |
Cigna
| Facility | $381.02 | $381.02 | $381.02 | |
Cigna
| Facility | AS | $37.39 | $37.39 | $37.39 |
Highmark BCBS
| Facility | $4,487.28 | $4,487.28 | $4,487.28 |