| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,200.00 | $1,200.00 | $1,400.00 | |
CareSource
| Facility | $839.90 | $839.90 | $839.90 | |
CareSource
| Professional | $574.29 | $574.29 | $574.29 | |
Highmark BCBS
| Facility | $7,239.92 | $7,239.92 | $7,239.92 |