| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | AA | $3,500.00 | $3,500.00 | $3,500.00 |
Highmark BCBS
| Professional | AA | $875.88 | $2,029.26 | $5,030.71 |
Martin's Point
| Professional | AA | $3,500.00 | $3,500.00 | $3,500.00 |