| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $641.36 | $641.36 | $3,550.00 | |
CareSource
| Facility | $687.71 | $753.58 | $821.03 | |
Cigna
| Facility | $754.59 | $754.59 | $754.59 | |
Highmark BCBS
| Facility | $8,512.14 | $8,512.14 | $8,512.14 |