| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $526.10 | $526.10 | $526.10 | |
CareSource
| Facility | $289.85 | $434.78 | $507.24 | |
CareSource
| Professional | $434.78 | $672.02 | $672.02 | |
Highmark BCBS
| Facility | $1,497.07 | $1,497.07 | $2,946.63 | |
United
| Professional | $266.66 | $443.01 | $869.55 |