| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $716.97 | $1,111.94 | $10,822.05 | |
CareSource
| Facility | $772.54 | $861.11 | $938.20 | |
Cigna
| Facility | $826.92 | $826.92 | $826.92 | |
Highmark BCBS
| Facility | $5,506.91 | $5,506.91 | $5,506.91 |