| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $87.96 | $1,303.97 | $60,611.20 | |
CareSource
| Facility | $1,384.22 | $1,523.60 | $1,659.99 | |
Cigna
| Facility | $1,503.96 | $1,503.96 | $1,503.96 | |
Highmark BCBS
| Facility | $35,150.90 | $35,150.90 | $35,150.90 |