| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $532.77 | $837.98 | $1,700.00 | |
CareSource
| Facility | $584.79 | $648.96 | $707.05 | |
Cigna
| Facility | $629.03 | $629.03 | $629.03 | |
Cigna
| Facility | AS | $62.30 | $62.30 | $62.30 |
Highmark BCBS
| Facility | $11,535.02 | $11,535.02 | $11,535.02 | |
United
| Facility | $2,450.00 | $2,450.00 | $2,450.00 |