| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,066.05 | $5,358.94 | $6,964.14 | |
CareSource
| Facility | $400.10 | $442.62 | $482.25 | |
Cigna
| Facility | $433.37 | $433.37 | $433.37 | |
Highmark BCBS
| Facility | $13,042.45 | $13,042.45 | $13,042.45 |