| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $526.38 | $818.11 | $1,700.00 | |
CareSource
| Facility | $569.60 | $633.55 | $690.28 | |
Cigna
| Facility | $611.16 | $611.16 | $611.16 | |
Cigna
| Facility | AS | $60.51 | $60.51 | $60.51 |
Highmark BCBS
| Facility | $21,077.66 | $21,077.66 | $21,077.66 |