| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $726.66 | $13,931.74 | $15,668.86 | |
CareSource
| Facility | $358.02 | $393.44 | $428.67 | |
Cigna
| Facility | $574.08 | $574.08 | $574.08 | |
Highmark BCBS
| Facility | $8,800.40 | $8,800.40 | $26,508.39 |