| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $819.63 | $1,200.00 | $1,400.00 | |
CareSource
| Facility | $944.79 | $1,082.23 | $1,179.09 | |
Cigna
| Facility | $1,013.29 | $1,013.29 | $1,013.29 | |
Cigna
| Facility | AS | $100.85 | $100.85 | $100.85 |
Highmark BCBS
| Facility | $44,909.16 | $44,909.16 | $44,909.16 |