| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $685.22 | $9,188.95 | $15,842.29 | |
Aetna
| Facility | 50 | $14,032.47 | $15,176.67 | $16,113.60 |
Highmark BCBS
| Facility | $6,132.00 | $6,132.00 | $6,132.00 | |
Highmark BCBS
| Facility | 50 | $3,402.41 | $3,402.41 | $7,884.85 |