| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $575.41 | $896.19 | $1,700.00 | |
CareSource
| Facility | $623.55 | $694.04 | $756.16 | |
Cigna
| Facility | $669.58 | $669.58 | $669.58 | |
Highmark BCBS
| Facility | $10,372.56 | $10,372.56 | $10,372.56 |