| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,200.00 | $1,200.00 | $1,400.00 | |
CareSource
| Facility | $355.39 | $355.39 | $355.39 | |
CareSource
| Professional | $243.00 | $243.00 | $243.00 | |
Highmark BCBS
| Facility | $508.66 | $508.66 | $508.66 |