| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $573.84 | $1,569.18 | $1,569.18 | |
CareSource
| Facility | $180.36 | $200.83 | $218.81 | |
Cigna
| Facility | $289.20 | $289.20 | $289.20 | |
Highmark BCBS
| Facility | $936.56 | $936.56 | $3,514.74 |