| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $459.80 | $717.82 | $1,600.00 | |
CareSource
| Facility | $503.72 | $555.90 | $605.66 | |
Cigna
| Facility | $538.97 | $538.97 | $538.97 | |
Cigna
| Facility | AS | $53.50 | $53.50 | $53.50 |
Highmark BCBS
| Facility | $1,161.02 | $1,161.02 | $2,724.11 |