| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,241.42 | $2,241.42 | $6,907.00 | |
Cigna
| Facility | $790.00 | $790.00 | $790.00 | |
Highmark BCBS
| Facility | $2,565.42 | $2,565.42 | $2,565.42 | |
Highmark BCBS
| Facility | 50 | $4,275.35 | $4,275.35 | $4,275.35 |