| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $537.03 | $537.03 | $1,698.24 | |
CareSource
| Facility | $588.84 | $588.84 | $707.95 | |
Cigna
| Facility | $34.67 | $933.25 | $933.25 | |
Cigna
| Facility | AS | $93.33 | $93.33 | $93.33 |
Highmark BCBS
| Facility | $5,011.87 | $5,011.87 | $11,481.54 | |
United
| Facility | $2,454.71 | $2,454.71 | $4,570.88 |