| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $618.39 | $1,400.00 | $3,148.34 | |
CareSource
| Facility | $703.93 | $782.39 | $852.43 | |
Cigna
| Facility | $759.64 | $759.64 | $759.64 | |
Highmark BCBS
| Facility | $17,409.70 | $17,409.70 | $17,409.70 |