| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,620.88 | $3,620.88 | $4,071.14 | |
Aetna
| Professional | $217.97 | $217.97 | $217.97 | |
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 | $1,238.42 | $1,238.42 | $1,238.42 |