| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,003.15 | $1,400.00 | $1,700.00 | |
CareSource
| Facility | $1,079.15 | $1,207.33 | $1,315.43 | |
Cigna
| Facility | $1,152.78 | $1,152.78 | $1,152.78 | |
Highmark BCBS
| Facility | $12,992.50 | $12,992.50 | $12,992.50 |