| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $78.22 | $312.76 | $3,074.75 | |
CareSource
| Facility | $77.48 | $85.66 | $93.33 | |
Cigna
| Facility | $124.24 | $124.24 | $124.24 | |
Highmark BCBS
| Facility | $1,907.01 | $1,907.01 | $1,907.01 |