| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,486.16 | $37,985.68 | $102,614.27 | |
Aetna
| Facility | 52 | $27,011.80 | $27,011.80 | $27,011.80 |
Highmark BCBS
| Facility | $153.96 | $153.96 | $153.96 | |
United
| Facility | $3,000.00 | $3,000.00 | $5,170.00 |