| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $439.35 | $668.16 | $1,700.00 | |
CareSource
| Facility | $464.70 | $517.44 | $563.76 | |
Cigna
| Facility | $501.23 | $501.23 | $501.23 | |
Highmark BCBS
| Facility | $1,447.28 | $1,447.28 | $3,478.92 |