| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $511.41 | $511.41 | $2,300.00 | |
CareSource
| Facility | $541.67 | $599.39 | $653.04 | |
Cigna
| Facility | $579.11 | $579.11 | $579.11 | |
Highmark BCBS
| Facility | $28,623.58 | $28,623.58 | $28,623.58 |