| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $124.10 | $256.26 | $6,010.34 | |
CareSource
| Facility | $119.58 | $161.62 | $197.31 | |
Cigna
| Facility | $205.09 | $205.09 | $205.09 | |
Highmark BCBS
| Facility | $4,015.45 | $4,015.45 | $4,015.45 | |
Highmark BCBS
| Facility | 50 | $4,477.43 | $4,477.43 | $4,477.43 |