| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,230.27 | $9,332.54 | $15,135.61 | |
Aetna
| Facility | 50 | $9,332.54 | $9,332.54 | $9,332.54 |
Highmark BCBS
| Facility | $7,079.46 | $7,079.46 | $7,585.78 | |
United
| Facility | $1,000.00 | $1,000.00 | $1,000.00 |