| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.05 | $6,859.65 | $22,082.48 | |
CareSource
| Facility | $917.94 | $1,018.96 | $1,110.16 | |
Cigna
| Facility | $987.25 | $987.25 | $987.25 | |
Cigna
| Facility | AS | $98.72 | $98.72 | $98.72 |
Highmark BCBS
| Facility | $10,280.03 | $27,335.16 | $38,732.43 |