| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17,782.79 | $23,988.33 | $42,657.95 | |
CareSource
| Facility | $870.96 | $870.96 | $1,071.52 | |
Cigna
| Facility | $1,318.26 | $1,318.26 | $1,318.26 | |
Cigna
| Facility | 22 | $1,584.89 | $1,584.89 | $1,584.89 |
Highmark BCBS
| Facility | $16,982.44 | $54,954.09 | $208,929.61 | |
United
| Facility | $12,882.50 | $12,882.50 | $72,443.60 |