| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16,056.14 | $16,056.14 | $16,056.14 | |
CareSource
| Facility | $769.59 | $830.46 | $1,006.17 | |
Cigna
| Facility | $890.93 | $890.93 | $890.93 | |
Highmark BCBS
| Facility | $14,115.54 | $14,115.54 | $15,714.05 |