| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $15.00 | $60.00 | $750.00 | |
Capital Blue Cross
| Professional | $64,999.35 | $64,999.35 | $64,999.35 | |
Highmark BCBS
| Professional | $28.00 | $55.00 | $80.00 | |
Martin's Point
| Professional | $37.50 | $82.50 | $750.00 |