| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,303.00 | $5,167.97 | $13,305.70 | |
CareSource
| Facility | $623.87 | $694.20 | $756.34 | |
Cigna
| Facility | $669.94 | $669.94 | $669.94 | |
Cigna
| Facility | AS | $66.47 | $66.47 | $66.47 |
Highmark BCBS
| Facility | $9,535.15 | $9,535.15 | $9,535.15 |