| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $193.75 | $846.01 | $1,600.00 | |
CareSource
| Facility | $204.99 | $227.29 | $247.64 | |
Cigna
| Facility | $328.70 | $328.70 | $328.70 | |
Highmark BCBS
| Facility | $7,622.09 | $7,622.09 | $7,622.09 |