| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $472.59 | $472.59 | $1,400.00 | |
CareSource
| Facility | $488.56 | $530.69 | $578.19 | |
Cigna
| Facility | $531.27 | $531.27 | $531.27 | |
Highmark BCBS
| Facility | $4,356.45 | $4,356.45 | $4,356.45 |