| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $622.98 | $1,601.05 | $6,907.00 | |
Aetna
| Facility | 50 | $6,366.40 | $12,712.12 | $14,354.85 |
Highmark BCBS
| Facility | $5,957.89 | $5,957.89 | $30,992.39 | |
Highmark BCBS
| Facility | 50 | $19,052.77 | $19,052.77 | $19,052.77 |