| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15,679.20 | $16,920.00 | $27,507.22 | |
CareSource
| Facility | $1,016.74 | $1,161.08 | $1,265.02 | |
Cigna
| Facility | $1,093.21 | $1,093.21 | $1,093.21 | |
Highmark BCBS
| Facility | $25,492.16 | $55,014.48 | $82,106.74 |