| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,600.00 | $8,677.45 | $8,677.45 | |
CareSource
| Facility | $152.56 | $169.66 | $184.84 | |
Cigna
| Facility | $163.13 | $163.13 | $163.13 | |
Highmark BCBS
| Facility | $7,295.89 | $7,295.89 | $7,295.89 |