| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $804.91 | $804.91 | $10,215.00 | |
CareSource
| Facility | $542.38 | $623.35 | $679.14 | |
CareSource
| Professional | $603.67 | $603.67 | $603.67 | |
Highmark BCBS
| Facility | $5,889.66 | $47,667.16 | $137,156.57 | |
United
| Professional | $7,118.82 | $10,214.99 | $17,930.88 |