| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $417.00 | $563.00 | $670.00 | |
Fidelis
| Facility | $24.55 | $128.97 | $533.79 | |
Highmark BCBS
| Facility | $30.96 | $90.00 | $340.37 | |
MVP Health Care
| Facility | $1,773.00 | $1,773.00 | $1,773.00 |