| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,995.47 | $8,913.08 | $10,383.87 | |
CareSource
| Facility | $764.03 | $845.35 | $921.02 | |
Cigna
| Facility | $815.76 | $815.76 | $815.76 | |
Cigna
| Facility | AS | $80.87 | $80.87 | $80.87 |
Highmark BCBS
| Facility | $3,139.39 | $12,436.38 | $37,481.40 |