| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $758.81 | $4,736.00 | $7,308.00 | |
Aetna
| Facility | 50 | $5,913.00 | $5,913.00 | $6,050.56 |
Highmark BCBS
| Facility | $2,565.42 | $2,565.42 | $3,420.39 | |
Highmark BCBS
| Facility | 50 | $8,370.29 | $8,370.29 | $8,370.29 |