| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $831.76 | $831.76 | $831.76 | |
Aetna
| Professional | $489.78 | $575.44 | $602.56 | |
Highmark BCBS
| Facility | $954.99 | $954.99 | $954.99 | |
United
| Professional | $302.00 | $436.52 | $1,584.89 |