| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $54.88 | $60.88 | $66.33 | |
CareSource
| Professional | $58.96 | $58.96 | $58.96 | |
Highmark BCBS
| Facility | $497.79 | $497.79 | $1,333.30 | |
United
| Professional | $41.01 | $114.36 | $436.39 |