| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $635.62 | $985.82 | $1,600.00 | |
CareSource
| Facility | $686.46 | $763.45 | $831.79 | |
Cigna
| Facility | $734.30 | $734.30 | $734.30 | |
Highmark BCBS
| Facility | $16,521.33 | $16,521.33 | $16,521.33 |