| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9,734.17 | $9,734.17 | $18,456.90 | |
CareSource
| Facility | $818.05 | $895.37 | $975.52 | |
Cigna
| Facility | $893.28 | $893.28 | $893.28 | |
Highmark BCBS
| Facility | $11,734.20 | $11,734.20 | $27,392.48 |