| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $547.89 | $4,349.51 | $4,349.51 | |
CareSource
| Facility | $144.76 | $160.34 | $174.70 | |
Cigna
| Facility | $232.12 | $232.12 | $232.12 | |
Highmark BCBS
| Facility | $789.11 | $789.11 | $789.11 |