| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $715.66 | $715.66 | $1,400.00 | |
CareSource
| Facility | $746.09 | $845.40 | $921.08 | |
Cigna
| Facility | $799.48 | $799.48 | $799.48 | |
Cigna
| Facility | AS | $79.00 | $79.00 | $79.00 |
Highmark BCBS
| Facility | $20,649.41 | $20,649.41 | $20,649.41 |