| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $63.00 | $289.00 | $405.00 | |
Emblem Health
| Facility | $100.00 | $248.00 | $1,215.00 | |
Fidelis
| Facility | $272.20 | $272.20 | $272.20 | |
Highmark BCBS
| Facility | $206.22 | $399.45 | $614.00 | |
MVP Health Care
| Facility | $3.28 | $3.28 | $3.39 |