| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $811.25 | $1,235.59 | $3,550.00 | |
CareSource
| Facility | $868.91 | $956.88 | $1,042.54 | |
Cigna
| Facility | $946.59 | $946.59 | $946.59 | |
Cigna
| Facility | AS | $94.66 | $94.66 | $94.66 |
Highmark BCBS
| Facility | $11,684.75 | $11,684.75 | $38,628.08 |