| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11.16 | $11.16 | $2,475.98 | |
Aetna
| Professional | $11.16 | $11.16 | $1,041.46 | |
Capital Blue Cross
| Facility | $967.00 | $967.00 | $967.00 | |
Highmark BCBS
| Facility | $496.66 | $973.81 | $1,173.92 | |
Martin's Point
| Facility | $11.16 | $14.17 | $2,475.98 | |
Martin's Point
| Professional | $11.16 | $11.16 | $1,041.46 |