| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,700.00 | $5,169.50 | $5,223.00 | |
CareSource
| Facility | $393.41 | $436.38 | $475.44 | |
Cigna
| Facility | $422.68 | $422.68 | $422.68 | |
Highmark BCBS
| Facility | $1,099.17 | $1,889.41 | $7,973.52 |