| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2.22 | $2.22 | $6.59 | |
Aetna
| Professional | $2.22 | $2.22 | $60.63 | |
Capital Blue Cross
| Facility | $967.00 | $967.00 | $967.00 | |
Highmark BCBS
| Facility | $186.40 | $186.40 | $186.40 | |
Martin's Point
| Facility | $2.22 | $2.22 | $6.59 | |
Martin's Point
| Professional | $2.22 | $2.22 | $20.43 |