| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,591.74 | $4,764.39 | $13,943.96 | |
CareSource
| Facility | $822.24 | $945.05 | $1,029.65 | |
Cigna
| Facility | $888.08 | $888.08 | $888.08 | |
Highmark BCBS
| Facility | $8,606.60 | $17,207.93 | $26,154.41 |