| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $141.22 | $214.45 | $1,600.00 | |
CareSource
| Facility | $150.10 | $166.08 | $180.94 | |
Cigna
| Facility | $161.56 | $161.56 | $161.56 | |
Highmark BCBS
| Facility | $1,071.49 | $1,071.49 | $10,387.09 | |
United
| Facility | $5,318.53 | $5,318.53 | $5,318.53 |