| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $683.45 | $683.45 | $2,600.00 | |
CareSource
| Facility | $775.81 | $865.52 | $943.00 | |
Cigna
| Facility | $835.31 | $835.31 | $835.31 | |
Highmark BCBS
| Facility | $42,352.90 | $42,352.90 | $100,609.17 |