| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $918.00 | $1,240.00 | $1,240.00 | |
Emblem Health
| Facility | $2,704.00 | $6,459.00 | $13,113.00 | |
Fidelis
| Facility | $1,620.77 | $2,080.15 | $2,392.37 | |
Highmark BCBS
| Facility | $60.12 | $1,160.98 | $4,388.95 | |
MVP Health Care
| Facility | $3,017.00 | $4,717.00 | $22,460.00 |