| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $145.94 | $4,342.80 | $4,342.80 | |
CareSource
| Facility | $140.00 | $152.57 | $166.23 | |
Cigna
| Facility | $150.65 | $150.65 | $150.65 | |
Highmark BCBS
| Facility | $4,741.12 | $5,524.36 | $5,996.65 |