| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $181.97 | $181.97 | $1,412.54 | |
CareSource
| Facility | $245.47 | $245.47 | $309.03 | |
Cigna
| Facility | $34.67 | $389.05 | $389.05 | |
Cigna
| Facility | 62 | $245.47 | $245.47 | $245.47 |
Cigna
| Facility | AS | $38.90 | $38.90 | $38.90 |
Highmark BCBS
| Facility | $7,079.46 | $7,079.46 | $7,079.46 | |
United
| Facility | $457.09 | $457.09 | $457.09 |