| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $800.89 | $4,213.39 | $17,780.59 | |
CareSource
| Facility | $790.11 | $875.98 | $954.40 | |
Cigna
| Facility | $845.53 | $845.53 | $845.53 | |
Cigna
| Facility | AS | $83.96 | $83.96 | $83.96 |
Highmark BCBS
| Facility | $1,447.28 | $1,447.28 | $1,447.28 |