| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $521.55 | $818.16 | $1,700.00 | |
CareSource
| Facility | $570.38 | $633.61 | $690.32 | |
Cigna
| Facility | $614.15 | $614.15 | $614.15 | |
Highmark BCBS
| Facility | $16,925.74 | $16,925.74 | $16,925.74 |