| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Emblem Health
| Facility | $15,999.84 | $49,999.50 | $69,999.30 | |
Fidelis
| Facility | $23,299.28 | $23,299.28 | $23,299.28 | |
Highmark BCBS
| Facility | $1,009.10 | $3,929.74 | $12,528.98 | |
United
| Facility | $500.00 | $5,000.00 | $5,000.00 |