| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $771.33 | $1,203.82 | $2,300.00 | |
CareSource
| Facility | $842.60 | $932.27 | $1,015.73 | |
Cigna
| Facility | $910.25 | $910.25 | $910.25 | |
Highmark BCBS
| Facility | $2,831.51 | $2,831.51 | $6,286.74 |