| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $104.22 | $104.22 | $132.36 | |
Aetna
| Professional | $104.22 | $104.22 | $304.11 | |
Emblem Health
| Professional | $38,249.62 | $38,249.62 | $38,249.62 | |
Highmark BCBS
| Facility | $220.16 | $220.16 | $220.16 | |
Martin's Point
| Facility | $104.22 | $132.36 | $330.68 | |
Martin's Point
| Professional | $104.22 | $104.22 | $304.11 |