| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $180.95 | $818.74 | $818.74 | |
CareSource
| Facility | $70.28 | $77.76 | $112.65 | |
Cigna
| Facility | $112.70 | $112.70 | $112.70 | |
Highmark BCBS
| Facility | $1,042.23 | $1,042.23 | $2,994.52 |