| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,247.86 | $2,247.86 | $3,049.36 | |
CareSource
| Facility | $129.81 | $143.58 | $156.44 | |
Cigna
| Facility | $139.34 | $139.34 | $139.34 | |
Highmark BCBS
| Facility | $666.22 | $1,627.31 | $6,449.11 |