| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $440.09 | $670.06 | $1,700.00 | |
CareSource
| Facility | $474.82 | $518.91 | $565.37 | |
Cigna
| Facility | $524.92 | $524.92 | $524.92 | |
Highmark BCBS
| Facility | $3,585.08 | $3,585.08 | $3,585.08 |