| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $705.12 | $1,101.09 | $11,163.80 | |
CareSource
| Facility | $767.59 | $852.72 | $929.06 | |
Cigna
| Facility | $823.94 | $823.94 | $823.94 | |
Cigna
| Facility | AS | $81.69 | $81.69 | $81.69 |
Highmark BCBS
| Facility | $13,796.62 | $13,796.62 | $13,796.62 |