| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $295.12 | $707.95 | $2,754.23 | |
Fidelis
| Facility | $87.10 | $102.33 | $269.15 | |
Highmark BCBS
| Facility | $309.03 | $309.03 | $309.03 | |
Optum
| Facility | $346.74 | $346.74 | $407.38 | |
United
| Facility | $346.74 | $346.74 | $407.38 |