| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $25.53 | $194.04 | $442.00 | |
Emblem Health
| Facility | $56,999.43 | $56,999.43 | $56,999.43 | |
Highmark BCBS
| Facility | $0.56 | $4.40 | $28.22 | |
MVP Health Care
| Facility | $2.63 | $25.53 | $442.00 | |
United
| Facility | $5,500.00 | $5,500.00 | $5,500.00 |