| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $82.76 | $921.55 | $1,400.00 | |
CareSource
| Facility | $88.23 | $97.56 | $106.30 | |
Cigna
| Facility | $141.47 | $141.47 | $141.47 | |
Highmark BCBS
| Facility | $7,883.38 | $7,883.38 | $7,883.38 |