| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $654.75 | $8,576.57 | $9,962.19 | |
CareSource
| Facility | $636.44 | $693.22 | $755.26 | |
Cigna
| Facility | $709.84 | $709.84 | $709.84 | |
Highmark BCBS
| Facility | $28,119.35 | $28,119.35 | $28,119.35 |