| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,868.13 | $6,522.19 | $26,857.23 | |
Aetna
| Facility | 52 | $91.00 | $91.00 | $215.05 |
CareSource
| Facility | $196.31 | $217.21 | $236.66 | |
Cigna
| Facility | $314.79 | $314.79 | $314.79 | |
Cigna
| Facility | 52 | $251.83 | $251.83 | $251.83 |
Highmark BCBS
| Facility | $970.66 | $10,685.63 | $28,865.19 |