| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $616.00 | $1,165.20 | $9,997.10 | |
CareSource
| Facility | $1,061.36 | $82,011.67 | $82,011.67 | |
CareSource
| Professional | $72,899.27 | $72,899.27 | $72,899.27 | |
Cigna
| Professional | $147.00 | $147.00 | $147.00 | |
Highmark BCBS
| Facility | $650.00 | $2,516.33 | $2,606.92 |