| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $333.40 | $333.40 | $2,600.00 | |
CareSource
| Facility | $359.55 | $400.73 | $436.60 | |
Cigna
| Facility | $386.26 | $386.26 | $386.26 | |
Highmark BCBS
| Facility | $4,865.89 | $4,865.89 | $4,865.89 |