| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $238.10 | $361.60 | $1,600.00 | |
CareSource
| Facility | $251.53 | $280.02 | $305.10 | |
Cigna
| Facility | $269.26 | $269.26 | $269.26 | |
Highmark BCBS
| Facility | $7,559.95 | $7,559.95 | $7,559.95 |