| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $833.75 | $833.75 | $833.75 | |
Aetna
| Professional | $601.75 | $601.75 | $601.75 | |
Highmark BCBS
| Facility | $958.36 | $958.36 | $958.36 | |
United
| Professional | $304.50 | $435.00 | $1,595.00 |