| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $422.76 | $647.05 | $1,400.00 | |
CareSource
| Facility | $453.04 | $501.10 | $545.95 | |
Cigna
| Facility | $726.45 | $726.45 | $726.45 | |
Highmark BCBS
| Facility | $17,675.36 | $17,675.36 | $17,675.36 |