| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $575.44 | $645.65 | $1,412.54 | |
CareSource
| Facility | $616.60 | $616.60 | $724.44 | |
Cigna
| Facility | $977.24 | $977.24 | $1,862.09 | |
Highmark BCBS
| Facility | $3,890.45 | $3,890.45 | $3,890.45 | |
United
| Facility | $1,230.27 | $1,230.27 | $4,466.84 |