| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $113.87 | $350.08 | $1,200.00 | |
CareSource
| Facility | $243.95 | $295.38 | $406.67 | |
Cigna
| Facility | $391.17 | $391.17 | $391.17 | |
Highmark BCBS
| Facility | $2,552.80 | $6,238.16 | $14,497.01 | |
United
| Facility | $2,910.00 | $2,910.00 | $2,910.00 |