| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $272.02 | $272.02 | $1,400.00 | |
CareSource
| Facility | $281.95 | $322.86 | $351.77 | |
Cigna
| Facility | $303.14 | $303.14 | $303.14 | |
Cigna
| Facility | AS | $29.53 | $29.53 | $29.53 |
Highmark BCBS
| Facility | $41,030.49 | $41,030.49 | $41,030.49 |