| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,401.69 | $4,803.39 | $7,060.02 | |
Aetna
| Facility | 50 | $3,530.01 | $5,043.35 | $8,405.21 |
Cigna
| Facility | $640.00 | $640.00 | $640.00 | |
Highmark BCBS
| Facility | $4,174.46 | $4,174.46 | $5,130.85 | |
Highmark BCBS
| Facility | 50 | $6,380.51 | $6,380.51 | $6,380.51 |