| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $811.30 | $6,598.80 | $6,598.80 | |
CareSource
| Facility | $566.62 | $628.29 | $684.53 | |
Cigna
| Facility | $610.79 | $610.79 | $610.79 | |
Highmark BCBS
| Facility | $6,960.34 | $6,960.34 | $10,445.84 |