| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $581.39 | $581.39 | $1,700.00 | |
CareSource
| Facility | $583.34 | $661.16 | $720.35 | |
Cigna
| Facility | $625.69 | $625.69 | $625.69 | |
Highmark BCBS
| Facility | $139,132.81 | $139,132.81 | $139,132.81 |