| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $92.78 | $315.30 | $1,400.00 | |
CareSource
| Facility | $98.86 | $109.99 | $119.84 | |
Cigna
| Facility | $158.52 | $158.52 | $158.52 | |
Highmark BCBS
| Facility | $4,286.02 | $4,286.02 | $4,286.02 | |
United
| Facility | $2,556.14 | $2,556.14 | $2,556.14 |