| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,200.00 | $1,200.00 | $1,400.00 | |
CareSource
| Facility | $182.25 | $182.25 | $182.25 | |
CareSource
| Professional | $121.50 | $121.50 | $121.50 | |
Highmark BCBS
| Facility | $311.14 | $311.14 | $11,809.76 |