| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,778.28 | $6,456.54 | $9,772.37 | |
Aetna
| Facility | 50 | $2,290.87 | $2,290.87 | $2,290.87 |
Cigna
| Facility | $794.33 | $794.33 | $794.33 | |
Highmark BCBS
| Facility | $5,128.61 | $5,128.61 | $5,128.61 |