| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $76.00 | $132.00 | $178.00 | |
Emblem Health
| Facility | $1,215.00 | $1,215.00 | $1,215.00 | |
Fidelis
| Facility | $92.83 | $134.66 | $199.45 | |
Highmark BCBS
| Facility | $104.87 | $256.42 | $480.97 | |
MVP Health Care
| Facility | $1.34 | $3.28 | $3.39 |