| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,728.42 | $4,750.43 | $6,558.06 | |
Aetna
| Professional | $177.50 | $346.13 | $834.96 | |
CareSource
| Facility | $82,011.67 | $82,011.67 | $82,011.67 | |
CareSource
| Professional | $72,899.27 | $72,899.27 | $72,899.27 | |
Highmark BCBS
| Facility | $829.54 | $2,499.08 | $5,563.03 |