| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,113.53 | $6,113.53 | $6,714.30 | |
Aetna
| Facility | 52 | $71.37 | $71.37 | $128.97 |
CareSource
| Facility | $137.85 | $186.10 | $227.45 | |
Cigna
| Facility | $247.70 | $247.70 | $247.70 | |
Cigna
| Facility | 52 | $198.16 | $198.16 | $198.16 |
Highmark BCBS
| Facility | $540.07 | $1,461.41 | $6,229.50 |