| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $2,070.36 | $6,353.28 | $17,752.50 | |
Capital Blue Cross
| Facility | $8,934.00 | $11,924.00 | $18,076.00 | |
Cigna
| Facility | $3,500.00 | $10,508.00 | $14,670.00 | |
Highmark BCBS
| Facility | $5,018.70 | $5,018.70 | $5,018.70 | |
Priority Health
| Facility | $3,500.00 | $8,757.00 | $14,061.00 |