| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,875.15 | $6,620.88 | $26,079.36 | |
CareSource
| Facility | $796.48 | $884.48 | $963.67 | |
Cigna
| Facility | $857.80 | $857.80 | $857.80 | |
Cigna
| Facility | AS | $85.30 | $85.30 | $85.30 |
Highmark BCBS
| Facility | $7,015.67 | $7,015.67 | $7,015.67 |