| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,965.63 | $9,139.62 | $27,739.40 | |
CareSource
| Facility | $1,095.25 | $1,222.96 | $1,332.42 | |
Cigna
| Facility | $1,171.73 | $1,171.73 | $1,171.73 | |
Highmark BCBS
| Facility | $12,579.90 | $20,745.11 | $37,174.11 |