| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,369.20 | $9,938.54 | $14,392.56 | |
Aetna
| Professional | $6,840.00 | $11,983.98 | $23,152.50 | |
Capital Blue Cross
| Facility | $967.00 | $967.00 | $967.00 | |
Highmark BCBS
| Facility | $1,033.26 | $3,447.15 | $6,142.57 | |
Martin's Point
| Facility | $804.30 | $6,319.50 | $14,392.56 | |
Martin's Point
| Professional | $2,070.00 | $11,760.00 | $23,152.50 |