| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $244.93 | $244.93 | $1,600.00 | |
CareSource
| Facility | $245.67 | $280.69 | $305.82 | |
Cigna
| Facility | $263.68 | $263.68 | $263.68 | |
Highmark BCBS
| Facility | $4,346.99 | $4,346.99 | $4,346.99 |