| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $164.93 | $251.91 | $948.48 | |
CareSource
| Facility | $0.02 | $0.02 | $0.02 | |
CareSource
| Professional | $0.02 | $0.02 | $0.02 | |
Cigna
| Facility | $18.68 | $43.22 | $106.10 | |
Highmark BCBS
| Facility | $900.96 | $900.96 | $1,083.17 |