| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,228.58 | $5,080.93 | $11,605.87 | |
CareSource
| Facility | $757.87 | $840.04 | $915.23 | |
Highmark BCBS
| Facility | $6,376.96 | $6,376.96 | $17,188.32 | |
United
| Facility | $2,910.00 | $2,910.00 | $2,910.00 |