| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $384.38 | $384.38 | $1,700.00 | |
CareSource
| Facility | $386.98 | $437.40 | $476.56 | |
Cigna
| Facility | $415.44 | $415.44 | $415.44 | |
Highmark BCBS
| Facility | $14,819.10 | $14,819.10 | $14,973.83 |