| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $214.37 | $786.45 | $1,400.00 | |
CareSource
| Facility | $239.49 | $266.33 | $290.18 | |
Cigna
| Facility | $384.03 | $384.03 | $384.03 | |
Highmark BCBS
| Facility | $3,650.91 | $3,650.91 | $3,650.91 |