| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,630.18 | $21,734.01 | $59,445.84 | |
Aetna
| Professional | $1,630.18 | $2,494.69 | $11,670.17 | |
Anthem BCBS
| Professional | $0.02 | $0.02 | $0.04 | |
Highmark BCBS
| Facility | $7,119.95 | $19,620.47 | $23,637.22 | |
MVP Health Care
| Facility | $555.00 | $597.00 | $74,999.25 |