| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $688.48 | $6,670.86 | $6,670.86 | |
CareSource
| Facility | $478.93 | $533.17 | $580.91 | |
Cigna
| Facility | $767.96 | $767.96 | $767.96 | |
Cigna
| Facility | AS | $76.80 | $76.80 | $76.80 |
Highmark BCBS
| Facility | $12,897.68 | $12,897.68 | $36,325.03 |