| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,268.45 | $5,790.40 | $16,967.00 | |
CareSource
| Facility | $576.27 | $640.70 | $698.06 | |
Cigna
| Facility | $619.72 | $619.72 | $619.72 | |
Cigna
| Facility | AS | $61.52 | $61.52 | $61.52 |
Highmark BCBS
| Facility | $5,898.89 | $7,237.89 | $15,404.21 |