| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17,358.98 | $17,358.98 | $17,358.98 | |
CareSource
| Facility | $515.47 | $515.47 | $515.47 | |
Cigna
| Facility | $500.69 | $500.69 | $500.69 | |
Highmark BCBS
| Facility | $7,290.53 | $7,290.53 | $12,275.48 |