| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5.07 | $154.16 | $188.94 | |
CareSource
| Facility | $44,999.55 | $69,999.30 | $82,011.67 | |
CareSource
| Professional | $72,899.27 | $72,899.27 | $72,899.27 | |
Highmark BCBS
| Facility | $98.43 | $98.43 | $151.25 |