| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,563.08 | $6,563.08 | $6,563.08 | |
Aetna
| Facility | 52 | $129.99 | $129.99 | $196.82 |
CareSource
| Facility | $274.95 | $304.83 | $332.13 | |
Cigna
| Facility | $294.83 | $294.83 | $294.83 | |
Cigna
| Facility | 52 | $230.55 | $230.55 | $230.55 |
Highmark BCBS
| Facility | $1,639.46 | $1,639.46 | $6,904.15 |