| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,096.04 | $1,096.04 | $1,096.04 | |
CareSource
| Facility | $319.43 | $364.61 | $397.25 | |
Cigna
| Facility | $342.71 | $342.71 | $342.71 | |
Highmark BCBS
| Facility | $31,576.74 | $31,576.74 | $31,576.74 |