| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $157.00 | $157.00 | $157.00 | |
Anthem BCBS
| Facility | $764.00 | $1,937.00 | $4,671.00 | |
Fidelis
| Facility | $22.97 | $41.74 | $211.92 | |
Highmark BCBS
| Facility | $119.11 | $221.28 | $3,021.14 |