| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,597.87 | $12,506.39 | $34,695.93 | |
Aetna
| Facility | 52 | $23,137.84 | $23,137.84 | $23,137.84 |
Highmark BCBS
| Facility | $154.37 | $154.37 | $7,150.79 | |
United
| Facility | $5,170.00 | $5,170.00 | $5,170.00 |