| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,416.59 | $4,972.60 | $13,995.52 | |
CareSource
| Facility | $461.75 | $512.84 | $558.75 | |
Cigna
| Facility | $492.06 | $492.06 | $492.06 | |
Highmark BCBS
| Facility | $3,678.08 | $5,239.10 | $17,234.64 |