| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5,816.00 | $5,816.00 | $6,907.00 | |
Aetna
| Facility | 50 | $3,202.26 | $4,002.83 | $4,803.39 |
Cigna
| Facility | $790.00 | $790.00 | $790.00 | |
Highmark BCBS
| Facility | $2,703.37 | $2,703.37 | $2,703.37 | |
Highmark BCBS
| Facility | 50 | $3,696.26 | $3,696.26 | $3,696.26 |