| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $557.63 | $875.68 | $2,300.00 | |
CareSource
| Facility | $612.04 | $678.14 | $738.86 | |
Cigna
| Facility | $660.64 | $660.64 | $660.64 | |
Highmark BCBS
| Facility | $13,889.90 | $13,889.90 | $13,889.90 |