| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $825.70 | $825.70 | $3,550.00 | |
CareSource
| Facility | $855.21 | $949.85 | $1,034.88 | |
Cigna
| Facility | $913.70 | $913.70 | $913.70 | |
Highmark BCBS
| Facility | $12,930.74 | $12,930.74 | $12,930.74 |