| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $421.20 | $5,371.16 | $11,793.60 | |
CareSource
| Facility | $435.98 | $481.68 | $524.79 | |
Cigna
| Facility | $465.34 | $465.34 | $465.34 | |
Highmark BCBS
| Facility | $1,099.20 | $1,099.20 | $1,099.20 |