| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,700.00 | $6,363.33 | $6,363.33 | |
CareSource
| Facility | $686.10 | $759.79 | $827.81 | |
Cigna
| Facility | $733.81 | $733.81 | $733.81 | |
Highmark BCBS
| Facility | $15,102.89 | $15,102.89 | $15,102.89 |