| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Geisinger
| Professional | $1,148.15 | $1,148.15 | $1,148.15 | |
UPMC Health Plan
| Facility | $891.25 | $891.25 | $977.24 | |
UPMC Health Plan
| Professional | $338.84 | $891.25 | $977.24 | |
United
| Facility | $10,471.29 | $10,471.29 | $10,471.29 | |
United
| Professional | $724.44 | $1,023.29 | $1,737.80 |