| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Emblem Health
| Facility | $15,999.84 | $49,999.50 | $64,999.35 | |
Fidelis
| Facility | $2,798.69 | $2,798.69 | $2,798.69 | |
Highmark BCBS
| Facility | $26.82 | $63.75 | $158.68 | |
United
| Facility | $500.00 | $5,000.00 | $5,000.00 |