| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,772.20 | $7,995.64 | $22,795.94 | |
CareSource
| Facility | $413.03 | $459.05 | $500.15 | |
Cigna
| Facility | $442.44 | $442.44 | $442.44 | |
Highmark BCBS
| Facility | $5,372.06 | $11,690.97 | $22,862.44 | |
Highmark BCBS
| Facility | 50 | $24,053.30 | $24,053.30 | $24,053.30 |