| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $494.20 | $772.14 | $1,700.00 | |
CareSource
| Facility | $538.75 | $597.97 | $651.50 | |
Cigna
| Facility | $575.46 | $575.46 | $575.46 | |
Highmark BCBS
| Facility | $4,444.68 | $4,444.68 | $4,444.68 |