| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $775.75 | $9,278.77 | $15,469.75 | |
Aetna
| Facility | 50 | $6,366.40 | $11,761.25 | $20,507.28 |
Highmark BCBS
| Facility | $5,525.51 | $7,150.79 | $38,508.44 | |
Highmark BCBS
| Facility | 50 | $2,485.17 | $8,912.14 | $53,405.54 |