| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $377.66 | $377.66 | $1,600.00 | |
CareSource
| Facility | $431.69 | $476.63 | $519.29 | |
Cigna
| Facility | $460.70 | $460.70 | $460.70 | |
Highmark BCBS
| Facility | $14,806.23 | $14,806.23 | $14,806.23 |