| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.00 | $39.50 | $112.50 | |
CareSource
| Facility | $6.39 | $25.52 | $82,011.67 | |
CareSource
| Professional | $72,899.27 | $72,899.27 | $72,899.27 | |
Highmark BCBS
| Professional | $50.00 | $50.00 | $100.00 |