| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $972.94 | $972.94 | $1,700.00 | |
CareSource
| Facility | $1,043.54 | $1,159.82 | $1,263.64 | |
Cigna
| Facility | $1,120.80 | $1,120.80 | $1,120.80 | |
Highmark BCBS
| Facility | $10,552.41 | $10,552.41 | $10,552.41 |