| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,333.00 | $9,150.29 | $9,732.29 | |
Aetna
| Professional | $4,759.30 | $4,759.30 | $4,759.30 | |
Capital Blue Cross
| Facility | $967.00 | $967.00 | $967.00 | |
Highmark BCBS
| Facility | $3,490.00 | $3,490.00 | $3,490.00 | |
Martin's Point
| Facility | $3,061.50 | $8,066.84 | $9,732.29 | |
Martin's Point
| Professional | $4,759.30 | $4,759.30 | $4,759.30 |