| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $784.91 | $784.91 | $3,550.00 | |
CareSource
| Facility | $811.32 | $881.72 | $960.65 | |
Cigna
| Facility | $877.99 | $877.99 | $877.99 | |
Highmark BCBS
| Facility | $1,815.84 | $1,815.84 | $1,815.84 |