| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,050.00 | $27,089.55 | $27,089.55 | |
CareSource
| Facility | $958.32 | $1,074.04 | $1,170.18 | |
Cigna
| Facility | $1,032.79 | $1,032.79 | $1,032.79 | |
Highmark BCBS
| Facility | $6,165.38 | $23,462.58 | $40,099.78 |