| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $101.84 | $343.25 | $1,400.00 | |
CareSource
| Facility | $107.76 | $119.39 | $130.07 | |
Cigna
| Facility | $172.79 | $172.79 | $172.79 | |
Highmark BCBS
| Facility | $4,201.71 | $4,201.71 | $4,730.03 |