| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $175.01 | $308.27 | $9,993.89 | |
CareSource
| Facility | $168.42 | $189.22 | $206.15 | |
Cigna
| Facility | $270.06 | $270.06 | $270.06 | |
Highmark BCBS
| Facility | $8,040.12 | $12,528.10 | $13,028.78 |