| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $177.83 | $812.83 | $1,412.54 | |
CareSource
| Facility | $199.53 | $199.53 | $239.88 | |
Cigna
| Facility | $34.67 | $323.59 | $323.59 | |
Highmark BCBS
| Facility | $1,318.26 | $1,318.26 | $1,318.26 | |
United
| Facility | $691.83 | $691.83 | $5,888.44 |