| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $384.00 | $1,202.26 | $1,202.26 | |
CareSource
| Facility | $110.23 | $122.22 | $133.15 | |
Cigna
| Facility | $176.75 | $176.75 | $176.75 | |
Highmark BCBS
| Facility | $4,739.56 | $4,739.56 | $4,739.56 |