| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,700.00 | $6,996.42 | $10,661.48 | |
CareSource
| Facility | $347.73 | $383.00 | $417.29 | |
Cigna
| Facility | $377.94 | $377.94 | $377.94 | |
Highmark BCBS
| Facility | $2,877.63 | $5,397.75 | $13,620.60 |