| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $251.09 | $251.09 | $2,300.00 | |
CareSource
| Facility | $181.65 | $198.86 | $216.66 | |
Cigna
| Facility | $195.50 | $195.50 | $195.50 | |
Highmark BCBS
| Facility | $3,125.43 | $3,125.43 | $3,125.43 |