| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $457.71 | $685.36 | $14,152.32 | |
CareSource
| Facility | $467.41 | $510.02 | $555.66 | |
Cigna
| Facility | $749.49 | $749.49 | $749.49 | |
Highmark BCBS
| Facility | $3,283.24 | $3,643.88 | $15,132.38 |