| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $525.32 | $702.67 | $967.34 | |
CareSource
| Facility | $517.60 | $569.48 | $620.46 | |
Cigna
| Facility | $829.97 | $829.97 | $829.97 | |
Cigna
| Facility | AS | $83.00 | $83.00 | $83.00 |
Highmark BCBS
| Facility | $20,413.79 | $20,413.79 | $20,413.79 |