| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Capital Blue Cross
| Facility | $5,011.87 | $8,511.38 | $77,624.71 | |
Capital Blue Cross
| Professional | $5.13 | $5.13 | $5.13 | |
Cigna
| Professional | $21.88 | $21.88 | $27.54 | |
Highmark BCBS
| Professional | $13.18 | $13.18 | $13.18 | |
United
| Professional | $23.99 | $23.99 | $23.99 |