| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,400.00 | $7,982.48 | $18,593.52 | |
CareSource
| Facility | $528.57 | $587.94 | $640.55 | |
Cigna
| Facility | $568.39 | $568.39 | $568.39 | |
Cigna
| Facility | AS | $56.48 | $56.48 | $56.48 |
Highmark BCBS
| Facility | $6,389.71 | $6,389.71 | $10,256.53 |