| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $296.14 | $446.66 | $1,600.00 | |
CareSource
| Facility | $312.05 | $345.90 | $376.87 | |
Cigna
| Facility | $336.20 | $336.20 | $336.20 | |
Highmark BCBS
| Facility | $3,357.52 | $3,357.52 | $3,357.52 |