| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $167.08 | $258.35 | $1,400.00 | |
CareSource
| Facility | $179.93 | $200.08 | $217.98 | |
Cigna
| Facility | $192.68 | $192.68 | $192.68 | |
Highmark BCBS
| Facility | $7,239.66 | $7,239.66 | $7,239.66 |