| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $564.79 | $929.23 | $1,600.00 | |
CareSource
| Facility | $640.96 | $784.04 | $1,079.42 | |
Cigna
| Facility | $685.61 | $685.61 | $685.61 | |
Highmark BCBS
| Facility | $86,667.95 | $86,667.95 | $86,667.95 |