| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5,223.00 | $6,195.88 | $11,390.92 | |
CareSource
| Facility | $510.33 | $568.94 | $619.88 | |
Cigna
| Facility | $546.08 | $546.08 | $546.08 | |
Highmark BCBS
| Facility | $3,264.31 | $11,526.93 | $12,956.04 |