| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $647.55 | $1,016.67 | $1,700.00 | |
CareSource
| Facility | $712.49 | $787.33 | $857.82 | |
Cigna
| Facility | $766.81 | $766.81 | $766.81 | |
Highmark BCBS
| Facility | $21,246.54 | $21,246.54 | $21,246.54 |