| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $118.75 | $179.17 | $1,600.00 | |
CareSource
| Facility | $124.85 | $138.76 | $151.16 | |
Cigna
| Facility | $133.99 | $133.99 | $133.99 | |
Highmark BCBS
| Facility | $3,129.02 | $3,297.54 | $5,742.81 |