| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $586.25 | $884.80 | $1,700.00 | |
CareSource
| Facility | $627.65 | $685.21 | $746.55 | |
Cigna
| Facility | $696.06 | $696.06 | $696.06 | |
Highmark BCBS
| Facility | $6,916.19 | $6,916.19 | $6,916.19 |