| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,600.00 | $6,779.28 | $6,779.28 | |
CareSource
| Facility | $192.89 | $215.45 | $234.72 | |
Cigna
| Facility | $207.22 | $207.22 | $207.22 | |
Highmark BCBS
| Facility | $7,026.39 | $7,026.39 | $14,525.10 |