| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $335.08 | $506.26 | $5,169.50 | |
CareSource
| Facility | $353.58 | $392.06 | $427.15 | |
Cigna
| Facility | $380.54 | $380.54 | $380.54 | |
Highmark BCBS
| Facility | $3,306.03 | $3,306.03 | $3,306.03 |