| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5,217.00 | $6,477.54 | $12,581.90 | |
CareSource
| Facility | $322.50 | $356.28 | $388.17 | |
Cigna
| Facility | $346.02 | $346.02 | $346.02 | |
Highmark BCBS
| Facility | $4,767.67 | $7,383.80 | $15,695.85 |