| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,075.91 | $1,183.50 | $1,700.00 | |
CareSource
| Facility | $1,143.76 | $1,250.26 | $1,362.16 | |
Cigna
| Facility | $1,254.16 | $1,254.16 | $1,254.16 | |
Highmark BCBS
| Facility | $15,517.86 | $15,517.86 | $15,517.86 |