| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9,674.00 | $9,674.00 | $9,674.00 | |
Cigna
| Facility | $21,098.73 | $21,098.73 | $21,098.73 | |
Highmark BCBS
| Facility | $15,075.59 | $18,288.29 | $27,690.07 | |
United
| Facility | $3,800.00 | $3,800.00 | $3,800.00 |