| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $378.08 | $378.08 | $2,300.00 | |
CareSource
| Facility | $383.99 | $433.55 | $472.37 | |
Cigna
| Facility | $411.13 | $411.13 | $411.13 | |
Highmark BCBS
| Facility | $75,306.20 | $75,306.20 | $75,306.20 |