| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $588.84 | $588.84 | $3,467.37 | |
CareSource
| Facility | $616.60 | $616.60 | $758.58 | |
Cigna
| Facility | $933.25 | $933.25 | $933.25 | |
Cigna
| Facility | 22 | $1,122.02 | $1,122.02 | $1,122.02 |
Highmark BCBS
| Facility | $20,892.96 | $20,892.96 | $20,892.96 | |
United
| Facility | $4,466.84 | $4,466.84 | $32,359.37 |