| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $538.61 | $834.90 | $1,600.00 | |
CareSource
| Facility | $585.57 | $646.57 | $704.44 | |
Cigna
| Facility | $625.63 | $625.63 | $625.63 | |
Highmark BCBS
| Facility | $4,424.97 | $4,424.97 | $5,411.82 |