| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $253.41 | $278.75 | $2,600.00 | |
CareSource
| Facility | $287.10 | $319.70 | $348.33 | |
Cigna
| Facility | $311.45 | $311.45 | $311.45 | |
Highmark BCBS
| Facility | $11,153.00 | $11,153.00 | $11,153.00 |