| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $167.65 | $258.58 | $2,568.38 | |
CareSource
| Facility | $179.96 | $200.26 | $218.17 | |
Cigna
| Facility | $191.90 | $191.90 | $191.90 | |
Highmark BCBS
| Facility | $4,865.89 | $4,865.89 | $4,865.89 |