| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $91.66 | $123.65 | $9,515.00 | |
CDPHP
| Facility | $139.05 | $1,254.00 | $4,050.00 | |
Cigna
| Facility | $110.24 | $10,210.00 | $14,456.00 | |
Emblem Health
| Facility | $75.84 | $134.32 | $332.00 | |
Highmark BCBS
| Facility | $376.00 | $376.00 | $376.00 | |
MVP Health Care
| Facility | $110.24 | $10,210.00 | $15,351.00 | |
United
| Facility | $1,079.00 | $2,744.00 | $5,484.00 | |
Univera
| Facility | $133.22 | $133.22 | $319.49 |