| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,383.45 | $1,383.45 | $8,212.00 | |
Aetna
| Facility | 50 | $10,958.29 | $10,958.29 | $13,480.40 |
Highmark BCBS
| Facility | $8,169.57 | $8,169.57 | $10,207.16 | |
Highmark BCBS
| Facility | 50 | $7,150.79 | $7,150.79 | $7,150.79 |