| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $84.84 | $84.84 | $1,403.99 | |
CareSource
| Facility | $150.18 | $202.74 | $247.80 | |
Cigna
| Facility | $176.50 | $176.50 | $176.50 | |
Highmark BCBS
| Facility | $1,752.67 | $1,752.67 | $1,752.67 |