| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.84 | $43.79 | $260.19 | |
Emblem Health
| Professional | $975.00 | $975.00 | $975.00 | |
Highmark BCBS
| Facility | $10.97 | $78.59 | $258.30 | |
Martin's Point
| Facility | $18.84 | $44.21 | $260.19 |