| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $518.69 | $796.98 | $1,700.00 | |
CareSource
| Facility | $554.95 | $617.20 | $672.45 | |
Cigna
| Facility | $596.91 | $596.91 | $596.91 | |
Highmark BCBS
| Facility | $13,841.30 | $13,841.30 | $13,841.30 |