| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $493.14 | $5,648.60 | $5,648.60 | |
CareSource
| Facility | $379.67 | $417.56 | $454.95 | |
Cigna
| Facility | $608.79 | $608.79 | $608.79 | |
Cigna
| Facility | AS | $60.88 | $60.88 | $60.88 |
Highmark BCBS
| Facility | $13,880.08 | $13,880.08 | $13,880.08 |