| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $169.02 | $239.57 | $1,700.00 | |
CareSource
| Facility | $198.28 | $226.82 | $247.13 | |
Cigna
| Facility | $317.93 | $317.93 | $317.93 | |
Highmark BCBS
| Facility | $5,703.23 | $5,703.23 | $5,703.23 |