| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,659.59 | $2,818.38 | $5,888.44 | |
Emblem Health
| Facility | $2,754.23 | $2,754.23 | $2,754.23 | |
Geisinger
| Facility | $741.31 | $831.76 | $1,047.13 | |
Martin's Point
| Facility | $1,659.59 | $2,818.38 | $5,888.44 | |
United
| Facility | $2,041.74 | $10,232.93 | $18,197.01 |