| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,718.00 | $3,870.57 | $8,607.58 | |
CareSource
| Facility | $596.73 | $660.80 | $719.96 | |
Cigna
| Facility | $637.63 | $637.63 | $637.63 | |
Cigna
| Facility | AS | $63.23 | $63.23 | $63.23 |
Highmark BCBS
| Facility | $1,419.97 | $6,110.18 | $8,624.69 |