| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,165.19 | $8,239.10 | $15,566.60 | |
CareSource
| Facility | $707.70 | $787.48 | $857.97 | |
Cigna
| Facility | $759.22 | $759.22 | $759.22 | |
Cigna
| Facility | AS | $75.45 | $75.45 | $75.45 |
Highmark BCBS
| Facility | $4,961.92 | $10,651.66 | $22,026.15 | |
United
| Facility | $9,096.79 | $9,096.79 | $9,096.79 |