| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $573.24 | $896.30 | $1,700.00 | |
CareSource
| Facility | $624.17 | $694.13 | $756.26 | |
Cigna
| Facility | $670.69 | $670.69 | $670.69 | |
Highmark BCBS
| Facility | $8,801.84 | $8,801.84 | $8,801.84 |