| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Emblem Health
| Professional | $660.59 | $660.59 | $1,184.00 | |
UPMC Health Plan
| Facility | $891.32 | $891.32 | $981.43 | |
UPMC Health Plan
| Professional | $363.05 | $909.15 | $981.43 | |
United
| Professional | $742.09 | $982.94 | $1,726.35 |