| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $235.15 | $235.15 | $1,700.00 | |
CareSource
| Facility | $254.64 | $283.56 | $308.95 | |
Cigna
| Facility | $272.63 | $272.63 | $272.63 | |
Highmark BCBS
| Facility | $15,517.86 | $15,517.86 | $15,517.86 |