| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $193.74 | $193.74 | $1,600.00 | |
CareSource
| Facility | $208.45 | $232.06 | $252.83 | |
Cigna
| Facility | $223.26 | $223.26 | $223.26 | |
Highmark BCBS
| Facility | $3,743.46 | $3,743.46 | $6,653.73 |