| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,903.03 | $7,728.00 | $12,790.96 | |
CareSource
| Facility | $360.12 | $397.99 | $433.62 | |
Cigna
| Facility | $385.46 | $385.46 | $385.46 | |
Highmark BCBS
| Facility | $3,990.23 | $13,790.76 | $16,842.90 |