| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $510.33 | $799.36 | $1,700.00 | |
CareSource
| Facility | $557.59 | $619.04 | $674.46 | |
Cigna
| Facility | $599.27 | $599.27 | $599.27 | |
Cigna
| Facility | AS | $59.43 | $59.43 | $59.43 |
Highmark BCBS
| Facility | $13,637.85 | $13,637.85 | $13,637.85 |