| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $305.12 | $434.28 | $445.48 | |
CareSource
| Facility | $82,011.67 | $82,011.67 | $82,011.67 | |
CareSource
| Professional | $72,899.27 | $72,899.27 | $72,899.27 | |
Highmark BCBS
| Facility | $559.08 | $559.08 | $902.17 |