| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $487.10 | $766.91 | $1,700.00 | |
CareSource
| Facility | $593.91 | $593.91 | $647.08 | |
Cigna
| Facility | $575.09 | $575.09 | $575.09 | |
Highmark BCBS
| Facility | $3,665.62 | $3,665.62 | $26,415.92 |