| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,989.04 | $4,105.92 | $9,305.10 | |
CareSource
| Facility | $405.89 | $459.78 | $500.93 | |
Cigna
| Facility | $650.84 | $650.84 | $650.84 | |
Highmark BCBS
| Facility | $3,044.27 | $7,957.53 | $13,771.78 |