| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $54.91 | $116.78 | $1,400.00 | |
CareSource
| Facility | $81.45 | $98.54 | $135.65 | |
Cigna
| Facility | $86.94 | $86.94 | $86.94 | |
Highmark BCBS
| Facility | $2,465.79 | $2,465.79 | $2,465.79 | |
United
| Facility | $2,496.08 | $2,496.08 | $2,496.08 |