| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,325.59 | $20,373.56 | $29,664.52 | |
CareSource
| Facility | $679.95 | $753.91 | $821.41 | |
Cigna
| Facility | $725.82 | $725.82 | $725.82 | |
Cigna
| Facility | AS | $71.98 | $71.98 | $71.98 |
Highmark BCBS
| Facility | $2,515.21 | $8,624.69 | $28,833.40 |