| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,764.08 | $7,619.08 | $13,958.00 | |
Aetna
| Professional | $3,775.00 | $7,961.62 | $7,961.62 | |
Highmark BCBS
| Facility | $1,136.32 | $10,530.42 | $19,646.40 | |
Martin's Point
| Facility | $2,311.48 | $12,030.62 | $16,144.92 | |
Martin's Point
| Professional | $5,139.49 | $7,961.62 | $7,961.62 |