| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $706.27 | $6,907.00 | $12,593.92 | |
Aetna
| Facility | 50 | $13,483.34 | $13,483.34 | $13,483.34 |
Highmark BCBS
| Facility | $3,142.53 | $7,544.08 | $8,169.55 | |
Highmark BCBS
| Facility | 50 | $5,271.90 | $5,271.90 | $10,233.17 |