| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5,080.93 | $5,080.93 | $5,080.93 | |
CareSource
| Facility | $1,776.94 | $1,776.94 | $1,776.94 | |
CareSource
| Professional | $1,215.00 | $1,215.00 | $1,215.00 | |
Cigna
| Professional | $2,365.04 | $2,365.04 | $2,365.04 | |
Highmark BCBS
| Facility | $403.32 | $403.32 | $3,334.32 |