| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,467.50 | $2,467.50 | $2,467.50 | |
Aetna
| Professional | $346.48 | $346.48 | $346.48 | |
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 | $2,494.21 | $2,494.21 | $3,193.96 |