| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,018.75 | $1,018.75 | $2,600.00 | |
CareSource
| Facility | $1,085.76 | $1,193.98 | $1,300.85 | |
Cigna
| Facility | $1,184.44 | $1,184.44 | $1,184.44 | |
Highmark BCBS
| Facility | $36,322.82 | $36,322.82 | $36,322.82 |