| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5,681.36 | $13,664.78 | $16,146.38 | |
CareSource
| Facility | $659.11 | $790.93 | $988.67 | |
Cigna
| Facility | $784.14 | $784.14 | $784.14 | |
Highmark BCBS
| Facility | $8,331.49 | $10,753.79 | $29,444.09 |