| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $550.41 | $550.41 | $1,400.00 | |
CareSource
| Facility | $543.48 | $608.35 | $662.81 | |
Cigna
| Facility | $581.78 | $581.78 | $581.78 | |
Highmark BCBS
| Facility | $33,831.33 | $33,831.33 | $33,831.33 |