| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $233.48 | $233.48 | $2,300.00 | |
CareSource
| Facility | $130.77 | $142.96 | $155.75 | |
Cigna
| Facility | $171.88 | $171.88 | $171.88 | |
Highmark BCBS
| Facility | $1,928.03 | $1,928.03 | $1,928.03 |