| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $295.31 | $324.83 | $1,700.00 | |
CareSource
| Facility | $331.64 | $369.65 | $402.75 | |
Cigna
| Facility | $358.67 | $358.67 | $358.67 | |
Highmark BCBS
| Facility | $6,550.07 | $6,550.07 | $6,550.07 |