| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,007.84 | $5,223.00 | $5,223.00 | |
CareSource
| Facility | $699.87 | $850.37 | $1,170.76 | |
Cigna
| Facility | $749.68 | $749.68 | $749.68 | |
Highmark BCBS
| Facility | $5,279.29 | $5,279.29 | $41,942.86 |