| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $496.88 | $775.02 | $1,600.00 | |
CareSource
| Facility | $541.87 | $600.20 | $653.92 | |
Cigna
| Facility | $580.66 | $580.66 | $580.66 | |
Highmark BCBS
| Facility | $1,050.22 | $1,050.22 | $1,050.22 |