| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,615.08 | $3,261.10 | $6,714.30 | |
Aetna
| Facility | 52 | $47.48 | $47.48 | $510.89 |
CareSource
| Facility | $101.20 | $101.20 | $122.31 | |
Cigna
| Facility | $162.27 | $162.27 | $162.27 | |
Cigna
| Facility | 52 | $129.82 | $129.82 | $129.82 |
Highmark BCBS
| Facility | $261.67 | $3,521.68 | $4,259.50 |