| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,910.40 | $3,910.40 | $5,681.36 | |
CareSource
| Facility | $244.15 | $268.04 | $292.05 | |
Cigna
| Facility | $263.74 | $263.74 | $263.74 | |
Highmark BCBS
| Facility | $2,821.80 | $5,169.35 | $17,744.49 |