| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12,358.18 | $12,358.18 | $12,358.18 | |
CareSource
| Facility | $591.52 | $657.08 | $715.91 | |
Cigna
| Facility | $633.12 | $633.12 | $633.12 | |
Highmark BCBS
| Facility | $10,071.59 | $10,071.59 | $10,071.59 |