| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10,054.00 | $10,054.00 | $10,054.00 | |
Cigna
| Facility | $21,988.68 | $21,988.68 | $21,988.68 | |
Highmark BCBS
| Facility | $13,536.23 | $23,676.86 | $63,220.67 | |
United
| Facility | $5,700.00 | $5,700.00 | $5,700.00 |