| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Emblem Health
| Professional | $80.36 | $80.36 | $80.36 | |
UPMC Health Plan
| Facility | $49.75 | $49.75 | $54.78 | |
UPMC Health Plan
| Professional | $49.75 | $53.44 | $54.78 | |
United
| Professional | $45.14 | $57.05 | $92.95 |