| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $353.90 | $595.44 | $1,600.00 | |
CareSource
| Facility | $409.46 | $502.40 | $691.69 | |
Cigna
| Facility | $438.59 | $438.59 | $438.59 | |
Cigna
| Facility | AS | $43.55 | $43.55 | $43.55 |
Highmark BCBS
| Facility | $7,874.81 | $7,874.81 | $7,874.81 |