| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $658.34 | $724.17 | $2,300.00 | |
CareSource
| Facility | $683.99 | $778.08 | $847.73 | |
Cigna
| Facility | $732.65 | $732.65 | $732.65 | |
Highmark BCBS
| Facility | $26,227.17 | $26,227.17 | $26,227.17 |