| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $298.32 | $2,304.36 | $2,304.36 | |
CareSource
| Facility | $93.35 | $103.25 | $112.50 | |
Cigna
| Facility | $149.68 | $149.68 | $149.68 | |
Highmark BCBS
| Facility | $1,825.96 | $3,506.84 | $5,831.38 |