| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $194.63 | $686.45 | $1,600.00 | |
CareSource
| Facility | $205.98 | $228.68 | $249.16 | |
Cigna
| Facility | $330.28 | $330.28 | $330.28 | |
Highmark BCBS
| Facility | $1,928.30 | $1,928.30 | $1,928.30 |