| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $196.16 | $296.80 | $1,400.00 | |
CareSource
| Facility | $207.39 | $229.86 | $250.43 | |
Cigna
| Facility | $222.47 | $222.47 | $222.47 | |
Highmark BCBS
| Facility | $1,332.46 | $1,332.46 | $5,437.73 |