| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $402.70 | $603.61 | $603.61 | |
CareSource
| Facility | $149.91 | $161.81 | $195.99 | |
Cigna
| Facility | $259.45 | $259.45 | $259.45 | |
Highmark BCBS
| Facility | $312.77 | $312.77 | $312.77 |