| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,949.00 | $9,546.31 | $9,546.31 | |
Aetna
| Professional | $500.00 | $500.00 | $500.00 | |
Highmark BCBS
| Facility | $899.52 | $899.52 | $899.52 | |
Highmark BCBS
| Professional | $450.00 | $450.00 | $625.34 |