| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $728.10 | $1,235.25 | $1,600.00 | |
CareSource
| Facility | $850.19 | $956.60 | $1,042.24 | |
Cigna
| Facility | $910.85 | $910.85 | $910.85 | |
Cigna
| Facility | AS | $90.56 | $90.56 | $90.56 |
Highmark BCBS
| Facility | $19,334.30 | $19,334.30 | $19,334.30 |