| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $213.05 | $2,149.78 | $3,196.86 | |
Aetna
| Facility | 52 | $96.85 | $96.85 | $146.19 |
CareSource
| Facility | $204.53 | $226.44 | $246.71 | |
Cigna
| Facility | $219.76 | $219.76 | $219.76 | |
Cigna
| Facility | 52 | $172.10 | $172.10 | $172.10 |
Highmark BCBS
| Facility | $1,771.14 | $4,640.37 | $5,828.22 |