| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $776.50 | $776.50 | $2,600.00 | |
CareSource
| Facility | $875.81 | $970.42 | $1,057.28 | |
Cigna
| Facility | $937.26 | $937.26 | $937.26 | |
Highmark BCBS
| Facility | $13,042.82 | $13,042.82 | $31,030.51 |