| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $371.43 | $584.66 | $1,600.00 | |
CareSource
| Facility | $410.05 | $452.78 | $493.32 | |
Cigna
| Facility | $443.77 | $443.77 | $443.77 | |
Highmark BCBS
| Facility | $3,010.57 | $3,010.57 | $3,010.57 |