| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $393.66 | $628.10 | $1,400.00 | |
CareSource
| Facility | $440.57 | $486.42 | $529.96 | |
Cigna
| Facility | $706.45 | $706.45 | $706.45 | |
Highmark BCBS
| Facility | $5,001.14 | $5,001.14 | $5,001.14 |