| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $661.87 | $1,400.00 | $8,142.28 | |
CareSource
| Facility | $708.60 | $794.21 | $865.30 | |
Cigna
| Facility | $760.19 | $760.19 | $760.19 | |
Highmark BCBS
| Facility | $17,487.79 | $17,487.79 | $17,487.79 |