| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11,735.90 | $23,135.28 | $42,370.50 | |
CareSource
| Facility | $1,386.32 | $1,553.72 | $1,692.81 | |
Cigna
| Facility | $1,494.48 | $1,494.48 | $1,494.48 | |
Highmark BCBS
| Facility | $10,022.84 | $10,022.84 | $19,946.68 |