| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $391.04 | $828.24 | $1,018.96 | |
CareSource
| Facility | $195.56 | $236.72 | $316.86 | |
Cigna
| Facility | $298.24 | $298.24 | $298.24 | |
Highmark BCBS
| Facility | $369.32 | $879.38 | $1,464.90 |