| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $819.66 | $1,264.26 | $1,600.00 | |
CareSource
| Facility | $879.38 | $979.08 | $1,066.72 | |
Cigna
| Facility | $944.72 | $944.72 | $944.72 | |
Highmark BCBS
| Facility | $9,263.71 | $9,263.71 | $11,224.72 |