| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,400.00 | $1,478.52 | $2,600.00 | |
CareSource
| Facility | $1,476.04 | $1,607.69 | $1,751.60 | |
Cigna
| Facility | $1,613.94 | $1,613.94 | $1,613.94 | |
Highmark BCBS
| Facility | $1,406.90 | $1,406.90 | $2,110.48 |