| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $886.74 | $886.74 | $1,728.06 | |
CareSource
| Facility | $282.77 | $313.58 | $341.66 | |
Cigna
| Facility | $303.25 | $303.25 | $303.25 | |
Highmark BCBS
| Facility | $1,584.74 | $1,706.18 | $8,141.44 |