| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $554.04 | $866.93 | $2,300.00 | |
CareSource
| Facility | $604.92 | $671.38 | $731.47 | |
Cigna
| Facility | $650.60 | $650.60 | $650.60 | |
Cigna
| Facility | AS | $64.56 | $64.56 | $64.56 |
Highmark BCBS
| Facility | $4,707.68 | $4,707.68 | $4,707.68 |