| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,570.88 | $4,570.88 | $4,570.88 | |
Geisinger
| Facility | $436.52 | $436.52 | $436.52 | |
Highmark BCBS
| Facility | $2,951.21 | $2,951.21 | $2,951.21 | |
Martin's Point
| Facility | $4,570.88 | $4,570.88 | $4,570.88 | |
United
| Facility | $2,041.74 | $10,232.93 | $18,197.01 |