| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $553.66 | $553.66 | $553.66 | |
Aetna
| Professional | $264.25 | $268.02 | $2,725.10 | |
CareSource
| Facility | $82,011.67 | $82,011.67 | $82,011.67 | |
CareSource
| Professional | $81.00 | $81.00 | $81.00 | |
Highmark BCBS
| Facility | $1,330.75 | $3,086.82 | $32,536.29 |