| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,445.96 | $4,916.51 | $30,057.58 | |
Aetna
| Professional | $2,398.00 | $2,453.46 | $4,916.51 | |
Anthem BCBS
| Professional | $0.02 | $0.02 | $0.03 | |
Highmark BCBS
| Facility | $5,863.56 | $5,863.56 | $5,863.56 | |
MVP Health Care
| Facility | $555.00 | $597.00 | $74,999.25 |