| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $94.78 | $136.06 | $1,400.00 | |
CareSource
| Facility | $101.48 | $111.38 | $121.35 | |
Cigna
| Facility | $162.72 | $162.72 | $162.72 | |
Highmark BCBS
| Facility | $6,587.59 | $6,587.59 | $6,587.59 |