| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,400.00 | $4,418.00 | $4,418.00 | |
CareSource
| Facility | $200.28 | $223.13 | $243.09 | |
Cigna
| Facility | $213.77 | $213.77 | $213.77 | |
Highmark BCBS
| Facility | $4,882.18 | $10,348.37 | $27,491.96 |