| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $936.21 | $11,464.56 | $15,774.69 | |
CareSource
| Facility | $1,057.43 | $1,184.22 | $1,290.22 | |
Cigna
| Facility | $1,138.32 | $1,138.32 | $1,138.32 | |
Highmark BCBS
| Facility | $13,674.95 | $13,674.95 | $27,732.10 |