| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $747.16 | $1,136.61 | $1,600.00 | |
CareSource
| Facility | $790.75 | $880.22 | $959.03 | |
Cigna
| Facility | $851.42 | $851.42 | $851.42 | |
Highmark BCBS
| Facility | $28,541.52 | $28,541.52 | $30,394.07 |