| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,521.20 | $8,809.11 | $17,436.58 | |
Aetna
| Facility | 50 | $4,443.60 | $9,178.20 | $15,161.83 |
Highmark BCBS
| Facility | $6,840.78 | $8,419.03 | $29,029.17 | |
Highmark BCBS
| Facility | 50 | $2,148.21 | $12,199.83 | $30,045.12 |