| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $197.12 | $197.12 | $346.58 | |
CareSource
| Facility | $123.20 | $166.32 | $203.28 | |
CareSource
| Professional | $147.84 | $502.23 | $514.90 | |
Highmark BCBS
| Facility | $3,307.25 | $7,542.88 | $10,580.30 | |
Highmark BCBS
| Professional | $210.98 | $210.98 | $210.98 | |
United
| Professional | $188.90 | $261.47 | $420.19 |