| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $786.78 | $786.78 | $786.78 | |
CareSource
| Facility | $125.64 | $138.59 | $201.37 | |
Cigna
| Facility | $201.46 | $201.46 | $201.46 | |
Highmark BCBS
| Facility | $1,938.06 | $1,938.06 | $1,938.06 |