| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $481.42 | $756.21 | $1,700.00 | |
CareSource
| Facility | $527.07 | $585.64 | $638.04 | |
Cigna
| Facility | $566.90 | $566.90 | $566.90 | |
Cigna
| Facility | AS | $55.89 | $55.89 | $55.89 |
Highmark BCBS
| Facility | $4,400.91 | $4,400.91 | $4,400.91 |