| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $193.50 | $848.46 | $1,600.00 | |
CareSource
| Facility | $205.45 | $228.08 | $248.51 | |
Cigna
| Facility | $329.43 | $329.43 | $329.43 | |
Highmark BCBS
| Facility | $4,869.64 | $4,869.64 | $4,869.64 |