| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $383.91 | $467.12 | $50,693.52 | |
Highmark BCBS
| Facility | $8,166.75 | $8,166.75 | $111,682.14 |
Rmvl Impltbl Dfb Plse Gen W/Rplcmt Plse Gen 2 Ld
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $383.91 | $467.12 | $50,693.52 | |
Highmark BCBS
| Facility | $8,166.75 | $8,166.75 | $111,682.14 |