| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $61.79 | $77.66 | $1,600.00 | |
CareSource
| Facility | $66.42 | $73.67 | $80.27 | |
Cigna
| Facility | $106.50 | $106.50 | $106.50 | |
Highmark BCBS
| Facility | $2,127.65 | $2,127.65 | $2,127.65 | |
United
| Facility | $460.00 | $460.00 | $460.00 |