| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $417.00 | $563.00 | $670.00 | |
Fidelis
| Facility | $565.44 | $591.77 | $1,053.09 | |
Highmark BCBS
| Facility | $417.26 | $550.36 | $658.43 | |
Univera
| Facility | $2,266.00 | $2,266.00 | $2,266.00 |