| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $586.55 | $9,588.94 | $19,552.93 | |
CareSource
| Facility | $82,011.67 | $82,011.67 | $82,011.67 | |
CareSource
| Professional | $113.40 | $113.40 | $113.40 | |
Highmark BCBS
| Facility | $933.43 | $1,410.53 | $16,444.89 |