| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $195.00 | $195.00 | $195.00 | |
Highmark BCBS
| Facility | $145.36 | $145.36 | $145.36 | |
Oscar Health
| Facility | $343.17 | $343.17 | $343.17 | |
Priority Health
| Facility | $195.00 | $195.00 | $195.00 |