| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,155.06 | $1,400.00 | $23,368.10 | |
CareSource
| Facility | $1,197.34 | $1,363.10 | $1,485.12 | |
Cigna
| Facility | $1,281.96 | $1,281.96 | $1,281.96 | |
Highmark BCBS
| Facility | $25,549.62 | $25,549.62 | $25,549.62 |