| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $394.37 | $620.13 | $1,700.00 | |
CareSource
| Facility | $434.40 | $480.25 | $523.23 | |
Cigna
| Facility | $469.82 | $469.82 | $469.82 | |
Highmark BCBS
| Facility | $17,132.78 | $17,132.78 | $17,132.78 |