| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,614.00 | $1,614.00 | $1,922.00 | |
Emblem Health
| Facility | $56,999.43 | $56,999.43 | $56,999.43 | |
Highmark BCBS
| Facility | $0.37 | $3.50 | $37.70 | |
MVP Health Care
| Facility | $2.63 | $2.63 | $2.63 |