| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,022.61 | $9,687.64 | $15,208.26 | |
CareSource
| Facility | $713.65 | $791.93 | $862.83 | |
Cigna
| Facility | $769.64 | $769.64 | $769.64 | |
Highmark BCBS
| Facility | $2,718.39 | $9,393.18 | $18,467.14 |