| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $385.51 | $385.51 | $1,700.00 | |
CareSource
| Facility | $387.22 | $437.64 | $476.82 | |
Cigna
| Facility | $416.04 | $416.04 | $416.04 | |
Highmark BCBS
| Facility | $7,048.93 | $7,048.93 | $26,642.98 |