| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,600.00 | $5,264.70 | $5,264.70 | |
CareSource
| Facility | $301.27 | $338.51 | $368.81 | |
Cigna
| Facility | $324.23 | $324.23 | $324.23 | |
Highmark BCBS
| Facility | $9,296.23 | $9,296.23 | $22,252.86 |