| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,400.00 | $1,400.00 | $1,700.00 | |
Aetna
| Professional | $1,308.17 | $1,308.17 | $1,308.17 | |
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 | $17,163.55 | $17,163.55 | $17,163.55 |