| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $524.74 | $823.31 | $1,700.00 | |
CareSource
| Facility | $571.95 | $637.58 | $694.67 | |
Cigna
| Facility | $614.15 | $614.15 | $614.15 | |
Cigna
| Facility | AS | $60.88 | $60.88 | $60.88 |
Highmark BCBS
| Facility | $10,241.86 | $10,241.86 | $10,650.98 |