| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $455.68 | $4,207.43 | $4,207.43 | |
CareSource
| Facility | $260.68 | $288.27 | $314.08 | |
Cigna
| Facility | $417.99 | $417.99 | $417.99 | |
Highmark BCBS
| Facility | $3,452.26 | $3,452.26 | $7,601.89 |