| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $331.45 | $1,578.58 | $1,690.43 | |
CareSource
| Facility | $163.68 | $180.91 | $197.10 | |
Cigna
| Facility | $262.45 | $262.45 | $262.45 | |
Highmark BCBS
| Facility | $10,206.01 | $10,206.01 | $14,820.54 |