| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $625.00 | $953.00 | $1,175.00 | |
Emblem Health
| Facility | $624.00 | $1,182.00 | $3,161.00 | |
Fidelis
| Facility | $255.11 | $426.36 | $601.79 | |
Highmark BCBS
| Facility | $130.02 | $240.16 | $676.59 |