| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $563.85 | $563.85 | $2,300.00 | |
CareSource
| Facility | $603.69 | $679.78 | $740.62 | |
Cigna
| Facility | $644.47 | $644.47 | $644.47 | |
Highmark BCBS
| Facility | $5,566.51 | $5,566.51 | $25,406.75 |