| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $661.57 | $1,021.79 | $1,700.00 | |
CareSource
| Facility | $713.49 | $791.30 | $862.14 | |
Cigna
| Facility | $770.39 | $770.39 | $770.39 | |
Highmark BCBS
| Facility | $46,058.07 | $46,058.07 | $46,058.07 | |
United
| Facility | $20,028.63 | $20,028.63 | $20,028.63 |