| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Capital Blue Cross
| Facility | $967.00 | $57,255.43 | $79,506.39 | |
Capital Blue Cross
| Professional | $64,999.35 | $64,999.35 | $64,999.35 | |
Cigna
| Professional | $70.08 | $70.08 | $70.08 | |
Highmark BCBS
| Professional | $2.00 | $5.00 | $5.00 | |
Priority Health
| Professional | $70.08 | $70.08 | $70.08 |