| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $93.33 | $97.72 | $199.53 | |
Highmark BCBS
| Facility | $3,548.13 | $3,548.13 | $3,548.13 | |
United
| Facility | $501.19 | $501.19 | $501.19 | |
United
| Professional | $162.18 | $190.55 | $380.19 |