| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $711.28 | $711.28 | $2,300.00 | |
CareSource
| Facility | $734.02 | $800.27 | $871.90 | |
Cigna
| Facility | $792.02 | $792.02 | $792.02 | |
Highmark BCBS
| Facility | $6,250.89 | $6,250.89 | $6,250.89 |