| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $358.43 | $547.01 | $1,600.00 | |
CareSource
| Facility | $384.46 | $423.62 | $461.54 | |
Cigna
| Facility | $616.47 | $616.47 | $616.47 | |
Highmark BCBS
| Facility | $13,637.85 | $13,637.85 | $13,637.85 |