| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $48.39 | $62.50 | $1,600.00 | |
CareSource
| Facility | $51.03 | $56.27 | $61.30 | |
Cigna
| Facility | $81.81 | $81.81 | $81.81 | |
Highmark BCBS
| Facility | $2,127.65 | $2,127.65 | $3,873.76 |