| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,775.00 | $8,120.85 | $35,397.12 | |
Aetna
| Professional | $1,615.40 | $3,775.00 | $7,961.62 | |
Anthem BCBS
| Professional | $0.02 | $0.02 | $0.03 | |
Highmark BCBS
| Facility | $79.59 | $8,524.91 | $9,938.83 | |
MVP Health Care
| Facility | $555.00 | $597.00 | $74,999.25 |