| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $666.43 | $1,116.54 | $1,700.00 | |
CareSource
| Facility | $720.57 | $773.30 | $942.08 | |
Cigna
| Facility | $825.07 | $825.07 | $825.07 | |
Highmark BCBS
| Facility | $12,490.11 | $12,490.11 | $12,490.11 |