| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $140.96 | $380.57 | $1,400.00 | |
CareSource
| Facility | $166.66 | $166.66 | $181.58 | |
Cigna
| Facility | $238.96 | $238.96 | $238.96 | |
Highmark BCBS
| Facility | $5,591.64 | $5,591.64 | $5,591.64 |