| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $628.27 | $628.27 | $3,550.00 | |
CareSource
| Facility | $517.80 | $571.26 | $622.40 | |
Cigna
| Facility | $557.27 | $557.27 | $557.27 | |
Highmark BCBS
| Facility | $32,559.97 | $32,559.97 | $47,441.44 |