| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $388.74 | $550.37 | $1,606.63 | |
Aetna
| Professional | $416.78 | $416.78 | $416.78 | |
Highmark BCBS
| Facility | $270.56 | $1,586.94 | $2,680.06 | |
United
| Professional | $175.05 | $625.16 | $916.92 |