| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,346.08 | $2,620.25 | $3,180.34 | |
Aetna
| Facility | 52 | $114.60 | $114.60 | $174.42 |
CareSource
| Facility | $270.14 | $270.14 | $294.33 | |
Cigna
| Facility | $260.75 | $260.75 | $260.75 | |
Cigna
| Facility | 52 | $204.01 | $204.01 | $204.01 |
Highmark BCBS
| Facility | $57.38 | $1,893.40 | $7,777.05 |