| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $626.84 | $810.73 | $21,516.39 | |
CareSource
| Facility | $558.29 | $611.21 | $665.93 | |
Cigna
| Facility | $895.23 | $895.23 | $895.23 | |
Highmark BCBS
| Facility | $4,022.60 | $4,022.60 | $4,022.60 |