| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $202.59 | $297.06 | $1,400.00 | |
CareSource
| Facility | $207.24 | $250.64 | $345.06 | |
Cigna
| Facility | $224.17 | $224.17 | $224.17 | |
Highmark BCBS
| Facility | $9,509.25 | $9,509.25 | $9,509.25 |