| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $591.16 | $591.16 | $3,550.00 | |
CareSource
| Facility | $651.37 | $720.20 | $784.67 | |
Cigna
| Facility | $700.64 | $700.64 | $700.64 | |
Highmark BCBS
| Facility | $14,479.85 | $14,479.85 | $14,479.85 |