| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,068.73 | $4,736.00 | $13,042.36 | |
Aetna
| Facility | 50 | $3,991.72 | $9,644.94 | $9,958.37 |
Aetna
| Professional | 50 | $617.32 | $617.32 | $617.32 |
Highmark BCBS
| Facility | 50 | $1,364.30 | $7,884.84 | $8,408.03 |