| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,481.47 | $8,928.15 | $18,431.52 | |
CareSource
| Facility | $351.61 | $398.17 | $433.82 | |
Cigna
| Facility | $375.23 | $375.23 | $375.23 | |
Cigna
| Facility | AS | $37.06 | $37.06 | $37.06 |
Highmark BCBS
| Facility | $3,772.14 | $12,576.35 | $27,446.60 |