| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $447.44 | $575.28 | $2,940.83 | |
CareSource
| Facility | $138.50 | $186.98 | $242.38 | |
Cigna
| Facility | $161.44 | $161.44 | $161.44 | |
Highmark BCBS
| Facility | $408.21 | $744.26 | $1,102.52 | |
United
| Facility | $460.00 | $460.00 | $460.00 |