| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $556.78 | $556.78 | $1,600.00 | |
CareSource
| Facility | $677.02 | $677.02 | $737.63 | |
Cigna
| Facility | $643.91 | $643.91 | $643.91 | |
Highmark BCBS
| Facility | $16,034.84 | $16,034.84 | $16,034.84 |