| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,700.00 | $7,927.34 | $7,927.34 | |
CareSource
| Facility | $425.11 | $487.07 | $530.66 | |
Cigna
| Facility | $454.68 | $454.68 | $454.68 | |
Highmark BCBS
| Facility | $4,522.68 | $18,110.40 | $28,044.86 |