| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,951.21 | $4,265.80 | $7,762.47 | |
Emblem Health
| Facility | $2,041.74 | $4,897.79 | $14,454.40 | |
Excellus BCBS
| Facility | $1,737.80 | $2,344.23 | $3,801.89 | |
Highmark BCBS
| Facility | $2,884.03 | $6,309.57 | $8,128.31 | |
Univera
| Facility | $1,737.80 | $1,737.80 | $1,737.80 |