| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $420.92 | $420.92 | $1,600.00 | |
CareSource
| Facility | $425.21 | $480.58 | $523.60 | |
Cigna
| Facility | $456.58 | $456.58 | $456.58 | |
Highmark BCBS
| Facility | $12,475.69 | $12,475.69 | $12,475.69 |