| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $487.40 | $487.40 | $1,700.00 | |
CareSource
| Facility | $481.98 | $552.05 | $601.48 | |
Cigna
| Facility | $520.50 | $520.50 | $520.50 | |
Highmark BCBS
| Facility | $13,723.97 | $13,723.97 | $13,723.97 |