| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $427.93 | $1,400.00 | $3,550.00 | |
CareSource
| Facility | $481.51 | $532.66 | $580.35 | |
Cigna
| Facility | $772.10 | $772.10 | $772.10 | |
Highmark BCBS
| Facility | $20,057.59 | $20,057.59 | $22,853.29 |