| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $837.42 | $837.42 | $1,600.00 | |
CareSource
| Facility | $889.90 | $1,003.75 | $1,093.60 | |
Cigna
| Facility | $952.74 | $952.74 | $952.74 | |
Highmark BCBS
| Facility | $18,686.65 | $18,686.65 | $18,686.65 |