| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,600.00 | $16,228.16 | $16,228.16 | |
CareSource
| Facility | $265.12 | $293.56 | $319.83 | |
Cigna
| Facility | $286.07 | $286.07 | $286.07 | |
Highmark BCBS
| Facility | $4,675.06 | $4,675.06 | $20,315.71 |