| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Geisinger
| Professional | $446.68 | $446.68 | $446.68 | |
UPMC Health Plan
| Facility | $354.81 | $389.05 | $389.05 | |
UPMC Health Plan
| Professional | $64.57 | $371.54 | $389.05 | |
United
| Facility | $48,977.88 | $48,977.88 | $48,977.88 | |
United
| Professional | $323.59 | $436.52 | $691.83 |