| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14,874.00 | $14,874.00 | $14,874.00 | |
Cigna
| Facility | $48,338.46 | $48,338.46 | $48,338.46 | |
Highmark BCBS
| Facility | $27,918.34 | $27,918.34 | $41,812.69 | |
United
| Facility | $5,700.00 | $5,700.00 | $5,700.00 |