| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $490.92 | $770.30 | $1,700.00 | |
CareSource
| Facility | $538.57 | $596.54 | $649.94 | |
Cigna
| Facility | $580.66 | $580.66 | $580.66 | |
Highmark BCBS
| Facility | $6,667.04 | $6,667.04 | $6,667.04 |