| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $414.36 | $699.04 | $1,700.00 | |
CareSource
| Facility | $489.35 | $541.36 | $589.82 | |
Cigna
| Facility | $521.89 | $521.89 | $521.89 | |
Highmark BCBS
| Facility | $5,668.23 | $5,668.23 | $5,668.23 |