| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13.50 | $13.50 | $97.32 | |
CareSource
| Facility | $82,011.67 | $82,011.67 | $82,011.67 | |
CareSource
| Professional | $72,899.27 | $72,899.27 | $72,899.27 | |
Cigna
| Facility | $18.68 | $43.22 | $106.10 | |
Highmark BCBS
| Facility | $11.29 | $11.29 | $115.98 |