| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,200.00 | $1,200.00 | $1,400.00 | |
CareSource
| Facility | $1,895.40 | $1,895.40 | $1,895.40 | |
CareSource
| Professional | $1,296.00 | $1,296.00 | $1,296.00 | |
Highmark BCBS
| Facility | $8,306.16 | $8,306.16 | $17,343.84 |