| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17,944.59 | $17,944.59 | $17,944.59 | |
CareSource
| Facility | $565.14 | $624.37 | $680.27 | |
Cigna
| Facility | $608.17 | $608.17 | $608.17 | |
Highmark BCBS
| Facility | $12,620.91 | $12,620.91 | $28,810.56 |