| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $238.00 | $238.00 | $238.00 | |
Emblem Health
| Facility | $1,215.00 | $1,215.00 | $1,215.00 | |
Highmark BCBS
| Facility | $4,247.25 | $4,247.25 | $4,247.25 | |
MVP Health Care
| Facility | $3.28 | $3.28 | $3.39 |