| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $590.66 | $933.33 | $2,300.00 | |
CareSource
| Facility | $652.45 | $722.80 | $787.50 | |
Cigna
| Facility | $705.06 | $705.06 | $705.06 | |
Highmark BCBS
| Facility | $1,419.97 | $1,419.97 | $1,471.75 |