| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $514.49 | $806.58 | $4,193.31 | |
CareSource
| Facility | $563.30 | $624.64 | $680.55 | |
Cigna
| Facility | $606.71 | $606.71 | $606.71 | |
Highmark BCBS
| Facility | $4,258.93 | $4,258.93 | $4,258.93 |