| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $271.11 | $271.11 | $2,300.00 | |
CareSource
| Facility | $309.64 | $341.32 | $371.87 | |
Cigna
| Facility | $331.13 | $331.13 | $331.13 | |
Highmark BCBS
| Facility | $3,789.36 | $3,789.36 | $3,789.36 |