| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $146.72 | $146.72 | $146.72 | |
Aetna
| Professional | $146.72 | $146.72 | $224.48 | |
Highmark BCBS
| Facility | $439.09 | $439.09 | $1,468.66 | |
United
| Professional | $182.77 | $400.91 | $782.83 |