| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $348.78 | $1,400.00 | $34,213.66 | |
CareSource
| Facility | $352.70 | $398.53 | $434.20 | |
Cigna
| Facility | $378.90 | $378.90 | $378.90 | |
Highmark BCBS
| Facility | $33,220.87 | $33,220.87 | $33,220.87 |