| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $64.47 | $276.49 | $1,200.00 | |
CareSource
| Facility | $70.72 | $78.56 | $85.59 | |
Cigna
| Facility | $113.40 | $113.40 | $113.40 | |
Highmark BCBS
| Facility | $183.26 | $2,007.53 | $2,120.96 |