| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $727.43 | $1,400.00 | $15,742.72 | |
CareSource
| Facility | $707.66 | $776.99 | $846.54 | |
Cigna
| Facility | $775.47 | $775.47 | $775.47 | |
Highmark BCBS
| Facility | $12,531.27 | $12,531.27 | $12,531.27 |